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NPI Code Detail

MEDICARE: LAURA C KRUTHOFFER LPCC

MEDICARE: LAURA C KRUTHOFFER 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
1101Y00000XCounselor0250KY
2101YP2500XProfessional CounselorE.0500597OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1184607OTHERKYMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1770521288
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA C KRUTHOFFER LPCC
Provider Business Mailing Address
First Line : 425 FARRELL CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1677
Country : US
Telephone Number : 513-451-6871
Fax Number : 513-451-6876
Provider Business Practice Location Address
First Line : 425 FARRELL CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1677
Country : US
Telephone Number : 513-451-6871
Fax Number : 513-451-6876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/07/2024

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Directions to “ LAURA C KRUTHOFFER LPCC” Practice Location

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