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NPI 1043134158

NPI 1043134158 : KATHY ANN ELSON LPCC-S, LICDC : GREENVILLE, OH

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General NPI Number Information
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    NPI Number           |    1043134158
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    Entity Type          |    Individual 
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    Provider Name        |    KATHY ANN ELSON LPCC-S, LICDC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/10/2026
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    Last Update Date     |    08/10/2026
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Provider Practice Location Address
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    Address Line         |    212 E MAIN ST 
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    City                 |    GREENVILLE
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    State                |    OH
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    Zip                  |    45331-1913
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    Country              |    US
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    Telephone            |    937-548-1635
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5830 HARTZELL RD 
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    City                 |    GREENVILLE
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    State                |    OH
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    Zip                  |    45331-9671
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    Country              |    US
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    Telephone            |    937-321-6330
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    944112
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    E.0003388
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    License Number State |    OH
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