Individual
KELLY FRAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
9 E ARCH ST, MADISONVILLE, KY 42431-2063
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104684
KY
Other
Enumeration date
03/28/2014
Last updated
07/15/2021
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