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NPI Code Detail

MEDICARE: MS. PATRICIA A KANIUGA LPCC

MEDICARE: MS. PATRICIA A KANIUGA 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 CounselorE3966OH

General Provider Information

NPI Number : 1659371292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA A KANIUGA LPCC
Provider Business Mailing Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number :
Provider Business Practice Location Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 09/19/2012

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Directions to “ MS. PATRICIA A KANIUGA LPCC” Practice Location

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