Stahl, Kenneth

Stahl, Kenneth is an individual health care provider with primary practice located at 4879 Us Highway 68 S , West Liberty OH 43357. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stahl, Kenneth can be contacted via phone (937) 599-1411.

Contact Information

Primary practice address
4879 Us Highway 68 S West Liberty OH 43357
Phone: (937) 599-1411
Fax: (937) 599-4128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161786 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E1700041-SUPV Ohio

Profile Details

NPI number 1285173179
LBN Legal business name Stahl, Kenneth
Credentials LPCC-S, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Apr 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285173179 NPPES
Ohio MEDICAID 0213436

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