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NPI Code Detail

MEDICARE: MR. KEVIN MARK DENZLER MA, LPCC

MEDICARE: MR. KEVIN MARK DENZLER MA, 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
1101YM0800XMental Health CounselorE.1100427-SUPVOH

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 : 1619421419
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN MARK DENZLER MA, LPCC
Provider Business Mailing Address
First Line : 11156 CANAL RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5815
Country : US
Telephone Number : 513-376-6950
Fax Number :
Provider Business Practice Location Address
First Line : 2250 PLEASANT AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45015-1135
Country : US
Telephone Number : 513-868-1562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2016
Last Update Date : 04/12/2024

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