| Wanderwomen Ltd | |
|
614 High St Fairport Harbor OH 44077-5638 | |
| (440) 313-6076 | |
| Not Available |
| Full Name | Wanderwomen Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 614 High St, Fairport Harbor, Ohio |
| Authorized Official Name and Position | Krystal Klingemier (OWNER/THERAPIST) |
| Authorized Official Contact | 4403136076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanderwomen Ltd 614 High St Fairport Harbor OH 44077-5638 Ph: () - | Wanderwomen Ltd 614 High St Fairport Harbor OH 44077-5638 Ph: (440) 313-6076 |
| NPI Number | 1447980800 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447980800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |