Provider Demographics
NPI:1386942654
Name:KAUFMAN, ALLISON E (MED, LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:E
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:SWEIGART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:347 MIDWAY BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-9006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:347 MIDWAY BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-9006
Practice Address - Country:US
Practice Address - Phone:440-324-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA387021101YA0400X
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)