Provider Demographics
NPI:1942548227
Name:HENDRICKSON, ELIZABETH A (LPCC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:HENDRICKSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 JOANA PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4507
Mailing Address - Country:US
Mailing Address - Phone:513-620-4450
Mailing Address - Fax:513-206-9918
Practice Address - Street 1:2619 ERIE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2001
Practice Address - Country:US
Practice Address - Phone:513-620-4450
Practice Address - Fax:513-206-9918
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0501184101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional