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Contact Information

KENNETH STAHL, LPCC-S, LICDC
4879 US HIGHWAY 68 S
WEST LIBERTY, OH43357
 Phone: 937-599-1411
 Fax: 937-599-4128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KENNETH STAHL · (Male)

NPI Number 1285173179
Status Active
Credentials LPCC-S, LICDC
Entity Individual
Enumeration date 02/13/2017
Last updated 04/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # E1700041-SUPV
  • OH License # LICDC.161786
  • OH Medicaid 0213436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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