Kenneth G Teitlebaum

NPI #1427048461 in Toledo, Ohio

Provider Information

NPI Number: 1427048461
Entity Type: Individual
Name: Kenneth G Teitlebaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 21, 2005
Last Updated: Oct 16, 2007

Practice Location

Address: 544 E WOODRUFF AVE
City: Toledo
State: Ohio
ZIP Code: 43624-1342
Phone: (419) 693-0631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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