Provider Demographics
NPI:1023489408
Name:KLYNN, HILLARI (LPCC)
Entity type:Individual
Prefix:
First Name:HILLARI
Middle Name:
Last Name:KLYNN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:11271 STATE ROUTE 762
Mailing Address - City:ORIENT
Mailing Address - State:OH
Mailing Address - Zip Code:43146-0300
Mailing Address - Country:US
Mailing Address - Phone:614-877-2441
Mailing Address - Fax:
Practice Address - Street 1:11271 STATE ROUTE 762
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:OH
Practice Address - Zip Code:43146-9005
Practice Address - Country:US
Practice Address - Phone:614-877-2441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional