Individual provider · Type 1 NPI

Keary Lee Carl

Professional Counselor · Cleveland, OH

NPI number 1366800500 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.1400261 (OH)
Professional Counselor 101YP2500XC.1400261 (OH)
Professional Counselor Primary 101YP2500XE1800906-SUPV (OH)
Counselor 101Y00000XC.1400261 (OH)

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About NPI 1366800500

Keary Lee Carl's National Provider Identifier is 1366800500, issued on Feb 2, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cleveland, OH. The record was last updated on Dec 4, 2020.