MEDICARE: COURTNEY LEIGH HUGHES- KSENICH LPCC

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
1	101YP2500X	Professional Counselor	E.2303271	OH

General Provider Information

NPI Number	:	1396361317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY LEIGH HUGHES- KSENICH LPCC

Provider Business Mailing Address
First Line	:	344 E HARDIN ST APT 10
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-4956
Country	:	US
Telephone Number	:	419-265-0877
Fax Number	:

Provider Business Practice Location Address
First Line	:	6180 EMERALD ST
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-2048
Country	:	US
Telephone Number	:	440-732-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	04/13/2023

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