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NPI Code Detail

MEDICARE: MS. KATELYN M SHAI LPCC

MEDICARE: MS. KATELYN M SHAI LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.0800473OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E.0800473OTHEROHSTATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD

General Provider Information

NPI Number : 1851684427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATELYN M SHAI LPCC
Provider Business Mailing Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number : 330-725-9187
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number : 330-725-9187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 04/01/2025

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Directions to “ MS. KATELYN M SHAI LPCC” Practice Location

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