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Individual

KATHLEEN ELIZABETH ERVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LSW, LPCC-S

Contact information

Practice address
4194 W US HIGHWAY 36, URBANA, OH 43078-9663
(937) 875-6795
Mailing address
4194 W US HIGHWAY 36, URBANA, OH 43078-9663
(937) 875-6795

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0600660-SUPV
OH
101YP2500X
Professional Counselor
E 0600660.SUPV
OH
104100000X
Social Worker
S-0015843
OH

Other

Enumeration date
04/14/2006
Last updated
08/17/2023
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