MEDICARE: VALERIE CONATSER

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	171M00000X	Case Manager/Care Coordinator		OH
2	106S00000X	Behavior Technician
3	101Y00000X	Counselor	LCDCIII.141180	OH

General Provider Information

NPI Number	:	1760992374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE CONATSER

Provider Business Mailing Address
First Line	:	515 DAYTON ST
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-3455
Country	:	US
Telephone Number	:	513-868-7654
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 HIGH ST
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-6003
Country	:	US
Telephone Number	:	513-896-3448
Fax Number	:

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

Provider Enumeration Date	:	10/09/2017
Last Update Date	:	12/13/2023

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Directions to “ VALERIE CONATSER ” Practice Location

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