Healthcare Provider Details
I. General information
NPI: 1154876860
Provider Name (Legal Business Name): STEVEN FRANCIS GEHLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 MADISON RD
WALNUT HILLS OH
45206-1706
US
IV. Provider business mailing address
832 CENTER ST
MILFORD OH
45150-1304
US
V. Phone/Fax
- Phone: 513-354-7010
- Fax:
- Phone: 513-240-9511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E.1300256 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: