Individual
MRS. CARLY NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4633 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 752-1555
Mailing address
4633 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 752-1555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1200417
OH
101YP2500X
Professional Counselor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID ODADAS
OH
01
—
0074946
MEDICAID ODMH
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
01/13/2014
Last updated
05/02/2023
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