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Elyse Etapa Llc
Mental Health Counselor in Canton, Ohio
NPI 1720517956

Elyse Etapa Llc is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Elyse Etapa Llc practices in Canton, OH. The NPI Number for Elyse Etapa Llc is 1720517956 and holds a License No. C.1600451 (Ohio).

The current practice location address for Elyse Etapa Llc is 4119 Whipple Ave Nw Ste B, Canton, OH and can be reached out via phone at 330-703-6578 and via fax at 330-768-7116.

Location: 4119 Whipple Ave Nw Ste B, Canton, OH, 44718-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720517956
Provider Name
Elyse Etapa Llc
Credential
Provider Entity Type
Organization
Address
4119 Whipple Ave Nw Ste B, Canton, OH, 44718-4801
Phone Number
330-703-6578
Fax Number
330-768-7116
Provider Enumeration Date
06/10/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0215799 05 OH
0057484 05 OH
institution
Provider Business Practice Location Address Details
Address
4119 Whipple Ave Nw Ste B
City
Canton
State
Ohio
Zip
44718-4801
Phone Number
330-703-6578
Fax Number
330-768-7116
person
Provider Business Mailing Address Details
Address
4119 Whipple Ave Nw Ste B
City
Canton
State
Ohio
Zip
44718-4801
Phone Number
330-703-6578
Fax Number
330-768-7116
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.1600451 (Ohio)
Definition
Definition to come...
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