Healthcare Provider Details

I. General information

NPI: 1801185723
Provider Name (Legal Business Name): CRAIG NICHOLAS DOBSON LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 OHIO PIKE # 312A
CINCINNATI OH
45255-3375
US

IV. Provider business mailing address

1334 COVEDALE LN
AMELIA OH
45102-2615
US

V. Phone/Fax

Practice location:
  • Phone: 513-770-1705
  • Fax:
Mailing address:
  • Phone: 513-400-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.1800998-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: