Individual
MS. KELLY HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, LCDC III
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2002543
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII161930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391452
—
OH
Enumeration date
12/22/2017
Last updated
09/26/2022
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