Individual
KIMBERLY A PODRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
352 CENTER STREET, SUITE 218, MIAMIVILLE, OH 45147-0218
(513) 722-5694
Mailing address
352 CENTER STREET, SUITE 218, MIAMIVILLE, OH 45147-0218
(513) 722-5694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E. 0700354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205690
—
OH
01
—
13555758
CAQH
OH
01
—
813780626
TAX ID
OH
Enumeration date
04/15/2010
Last updated
01/25/2023
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