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Individual

EDITH H PATAGUNDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
900 W SOUTH BOUNDARY ST BLDG 6, PERRYSBURG, OH 43551-5235
(614) 339-0806
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
173535
KY
101YM0800X
Mental Health Counselor
Primary
C.2103819
OH
171M00000X
Case Manager/Care Coordinator
OH
221700000X
Art Therapist
262144
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
06/15/2017
Last updated
10/01/2025
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