MEDICARE: PAMELA BITZENHOFER COUNSELING, LLC

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	101YP2500X	Professional Counselor	C1300266	OH

General Provider Information

NPI Number	:	1770036865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMELA BITZENHOFER COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1028 URBANCREST DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-1325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 URBANCREST DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-1325
Country	:	US
Telephone Number	:	513-673-6431
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	PAMELA BITZENHOFER
Credential	:	LPC
Telephone Number	:	513-673-6431

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	07/26/2016

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