Individual provider · Type 1 NPI

Kenneth Trivison

Mental Health Counselor · North Olmsted, OH

NPI number 1114969862 Active

Practice location

25111 Country Club Blvd, Suite 290
North Olmsted, OH 44070-5345

Call (440) 614-2520 Map

Fax (440) 614-2526

Mailing address

24800 Highpoint Rd
Beachwood, OH 44122-6041

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE0000375 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1114969862

Kenneth Trivison's National Provider Identifier is 1114969862, issued on Jun 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Olmsted, OH. The record was last updated on Jul 8, 2007.