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NPI Code Detail

MEDICARE: ELIZABETH LOGAN BATZER LPCC-S

MEDICARE: ELIZABETH LOGAN BATZER LPCC-S
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.0004860-SUPVOH
2101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.933544OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093985178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LOGAN BATZER LPCC-S
Provider Business Mailing Address
First Line : 547 E 11TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-2603
Country : US
Telephone Number : 614-224-4506
Fax Number : 614-291-0118
Provider Business Practice Location Address
First Line : 547 E 11TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-2603
Country : US
Telephone Number : 614-224-4506
Fax Number : 614-291-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 09/19/2016

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Directions to “ ELIZABETH LOGAN BATZER LPCC-S” Practice Location

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