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NPI Code Detail

MEDICARE: MS. ELIZABETH A HENDRICKSON LPCC

MEDICARE: MS. ELIZABETH A HENDRICKSON 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.0501184OH

General Provider Information

NPI Number : 1942548227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH A HENDRICKSON LPCC
Provider Business Mailing Address
First Line : 4613 JOANA PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-4507
Country : US
Telephone Number : 513-620-4450
Fax Number : 513-206-9918
Provider Business Practice Location Address
First Line : 2619 ERIE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2001
Country : US
Telephone Number : 513-620-4450
Fax Number : 513-206-9918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2013
Last Update Date : 05/09/2024

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