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NPI Code Detail

MEDICARE: NATHAN LARAMORE LPCC

MEDICARE: NATHAN LARAMORE 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
1101Y00000XCounselorLPCCCA00224178KY
2101YP2500XProfessional Counselor248717KY

General Provider Information

NPI Number : 1891153300
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN LARAMORE LPCC
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 621 HAPPY VALLEY RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1541
Country : US
Telephone Number : 866-934-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2016
Last Update Date : 04/12/2023

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