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NPI Code Detail

MEDICARE: CHASE HUDSON LPCC

MEDICARE: CHASE HUDSON 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
1101YP2500XProfessional CounselorE.2606670OH
2101Y00000XCounselorKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396466587
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE HUDSON LPCC
Provider Business Mailing Address
First Line : 1351 NEWTOWN PIKE BLDG 1
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1277
Country : US
Telephone Number : 859-253-1686
Fax Number :
Provider Business Practice Location Address
First Line : 1351 NEWTOWN PIKE BLDG 1
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1277
Country : US
Telephone Number : 859-253-1686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 03/05/2026

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