Individual
ELLEN GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2135 DANA AVE, CINCINNATI, OH 45207-1313
(513) 505-2981
Mailing address
1691 CLIFF RD, NORTH BEND, OH 45052-9636
(513) 505-2981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2102611
OHCSMFT BOARD
OH
Enumeration date
02/10/2022
Last updated
02/10/2022
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