Individual
MRS. ELLEN ISABELLE SPOELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MSE.D, LPCC
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
(513) 354-7115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801589
OH
101YM0800X
Mental Health Counselor
C.1700457-TRNE
OH
101YP2500X
Professional Counselor
Primary
E.2202784
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
05
—
0200044
—
OH
Enumeration date
06/27/2018
Last updated
12/16/2022
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