Individual
ELLEN DIERSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3333 BURNET AVENUE, MLC 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 517-0860
Mailing address
3333 BURNET AVENUE, MLC 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 517-0860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.1500289
OH
101YP2500X
Professional Counselor
Primary
E.1500289
OH
Other
Enumeration date
06/04/2019
Last updated
07/30/2019
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