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NPI Code Detail

MEDICARE: WHITNEY FOLSOM-LECOUFFE LICDC, LPCC

MEDICARE: WHITNEY FOLSOM-LECOUFFE LICDC, 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
1101YM0800XMental Health CounselorE.2404868
2101YA0400XAddiction (Substance Use Disorder) Counselor162438OH

General Provider Information

NPI Number : 1962918987
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY FOLSOM-LECOUFFE LICDC, LPCC
Provider Business Mailing Address
First Line : PO BOX 402
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-0402
Country : US
Telephone Number : 740-858-6683
Fax Number :
Provider Business Practice Location Address
First Line : 9620 CAREYS RUN POND CREEK RD
Second Line :
City : MC DERMOTT
State : OH
Zip : 45652-3902
Country : US
Telephone Number : 740-858-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/02/2024

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