KATHLEEN E ESTABROOK PCC-SLSWLICDC NPI 1427164227

NPI Information

  • NPI: 1427164227
  • Provider Name: KATHLEEN E ESTABROOK, PCC-S,LSW,LICDC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 515 MARTIN DR
    XENIA, OH
    ZIP 45385
  • Phone: (937) 352-2908

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NPI Details

Kathleen E Estabrook, PCC-S,LSW,LICDC is a professional counselor in Xenia, OH. Kathleen E Estabrook, PCC-S,LSW,LICDC NPI is 1427164227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 MARTIN DR
XENIA, OH
ZIP 45385-615
Phone: (937) 352-2908
Fax: (937) 352-2930

The enumeration date for this NPI number is 8/22/2006 and was last updated on 2/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalS-13433OHIONo
2101YP2500XCounselorProfessionalE-3754-SUPVOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111823305OTHERCAQH #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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