Individual
KEVIN CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4135 DIXIE HWY, ELSMERE, KY 41018-1815
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
175309
KY
101YP2500X
Professional Counselor
175309
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104238054
—
KY
Enumeration date
05/27/2014
Last updated
10/29/2024
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