Individual
KELSEY HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CT
Contact information
Practice address
1375 COMMERCE DR, NEW LEXINGTON, OH 43764-9511
(740) 342-5154
(740) 342-3704
Mailing address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2002231
OH
101YM0800X
Mental Health Counselor
Primary
C.2002231-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415355
—
OH
Enumeration date
08/26/2020
Last updated
02/18/2021
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