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Individual

MR. KEVIN DALE HOFSTETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA LPCC

Contact information

Practice address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864
(419) 994-0300
Mailing address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864-9407
(419) 994-0300
(419) 994-0305

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0008406
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0227403
OH
Enumeration date
09/23/2008
Last updated
03/04/2019
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