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Individual

KELSEY DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICDC, LPC

Contact information

Practice address
800 COMPTON RD UNIT 12, CINCINNATI, OH 45231-3846
(859) 746-9272
Mailing address
222 PROGRESS AVE, HAMILTON, OH 45013-2942
(513) 704-3391

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162318
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
C.2304830
OH

Other

Enumeration date
08/22/2017
Last updated
02/03/2023
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