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Individual

KATHERINE E BEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
655 E LIVINGSTON AVE, COLUMBUS, OH 43205-2618
(614) 722-8293
(614) 722-8299
Mailing address
DEPT 781629, DETROIT, MI 48278-1629
(614) 355-8004
(614) 355-2220

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1902016
OH
101YP2500X
Professional Counselor
Primary
E.2102138
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473276
OH
Enumeration date
08/19/2019
Last updated
02/17/2021
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