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NPI Code Detail

MEDICARE: CARRIE ELIZABETH KUNZELMAN LPCC-S, LICDC

MEDICARE: CARRIE ELIZABETH KUNZELMAN LPCC-S, LICDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor991526OH
2101YM0800XMental Health CounselorE. 0006819OH

General Provider Information

NPI Number : 1477876860
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE ELIZABETH KUNZELMAN LPCC-S, LICDC
Provider Business Mailing Address
First Line : 1515 CARLL ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2012
Country : US
Telephone Number : 513-244-3985
Fax Number : 513-244-3989
Provider Business Practice Location Address
First Line : 1515 CARLL ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2012
Country : US
Telephone Number : 513-244-3985
Fax Number : 513-244-3989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2010
Last Update Date : 03/12/2010

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