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Organization
NEW LEAF COUNSELING GROUP
Active
Organization
NEW LEAF COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SHUTTLESWORTH SIPPEL LPC, CDCA (OWNER)
(513) 443-8790
Entity
Organization
Contact information
Practice address
11427 REED HARTMAN HWY STE 119, BLUE ASH, OH 45241-2418
(513) 443-8790
(513) 618-6526
Mailing address
11427 REED HARTMAN HWY STE 119, BLUE ASH, OH 45241-2418
(513) 443-8790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266404
—
OH
Enumeration date
05/04/2022
Last updated
05/04/2022
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