Doctor Name: | ANGEL KESSLER |
NPI Number: | 1013254275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C.1200617-TRNE |
Business Practice Address: | 4641 Fulton Dr Nw Canton, OH - 447182384 |
Business Phone Number: | 3304336075 |
Business Fax Number: | |
Mailing Address: | 7500 Seymour St Nw, MASSILLON |
State: | OH |
Postal Code: | 446462698 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/08/2013 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C.1200617-TRNE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |