Individual
EMILY SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPCC-S, NCC
Contact information
Practice address
8501 HENIZE RD, GEORGETOWN, OH 45121-9454
(513) 399-7238
Mailing address
8501 HENIZE RD, GEORGETOWN, OH 45121-9454
(513) 399-7238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.1800578-SUPV
OH
101YM0800X
Mental Health Counselor
Primary
E.1800578-SUPV
OH
101YP2500X
Professional Counselor
E.1800578-SUPV
OH
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259197
—
OH
Enumeration date
11/20/2017
Last updated
11/15/2021
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