Provider Demographics
NPI:1720461601
Name:DUSKEY, KATIE (MA, LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:
Last Name:DUSKEY
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 FAIRGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1966
Mailing Address - Country:US
Mailing Address - Phone:513-341-5501
Mailing Address - Fax:
Practice Address - Street 1:1900 FAIRGROVE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-1966
Practice Address - Country:US
Practice Address - Phone:513-889-5880
Practice Address - Fax:513-755-1967
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1400297101YP2500X
OHE1700344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH47-4213364OtherEMPLOYER IDENTIFICATION NUMBER