Provider Demographics
NPI:1225755614
Name:KITZMILLER, PAUL E II (LPC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:KITZMILLER
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 EXECUTIVE PARK DR STE 350
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2077
Mailing Address - Country:US
Mailing Address - Phone:937-303-7198
Mailing Address - Fax:
Practice Address - Street 1:580 BUCHLOE DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-2594
Practice Address - Country:US
Practice Address - Phone:614-306-8907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health