MEDICARE: SUZAN HAMDEN MS/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
1	101YP2500X	Professional Counselor	E0006754	OH

General Provider Information

NPI Number	:	1841543311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZAN HAMDEN MS/LPCC

Provider Business Mailing Address
First Line	:	3095 KETTERING BLVD
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1983
Country	:	US
Telephone Number	:	937-293-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S EDWIN C MOSES BLVD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-3424
Country	:	US
Telephone Number	:	937-734-8333
Fax Number	:

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

Provider Enumeration Date	:	10/22/2012
Last Update Date	:	03/02/2026

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