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General NPI Number Information
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NPI Number | 1932694304
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Entity Type | Individual
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Provider Name | ELLEN ISABELLE SPOELKER BA, MSE.D, LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4788
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Fax | 513-636-4283
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Provider Business Mailing Address
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Address Line | 1501 MADISON RD
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City | WALNUT HILLS
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State | OH
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Zip | 45206-1706
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Country | US
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Telephone | 513-354-5200
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Fax | 513-354-7115
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1801589
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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 | C.1700457-TRNE
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2202784
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License Number State | OH
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