Individual
MS. KELSEY SUZANNE HOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
188 W HEBBLE AVE, FAIRBORN, OH 45324-4960
(937) 754-5911
Mailing address
PO BOX #24341, DAYTON, OH 45424
(937) 216-8806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC011607
PA
101YP2500X
Professional Counselor
Primary
E.2102584-SUPV
OH
Other
Enumeration date
11/02/2019
Last updated
08/24/2024
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