Provider Demographics
NPI:1487191136
Name:ALDRIDGE, KELSEY (LPCC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:MCCLOSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3156 DUSTIN ROAD
Mailing Address - Street 2:SUITE# 302
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616
Mailing Address - Country:US
Mailing Address - Phone:419-741-4694
Mailing Address - Fax:
Practice Address - Street 1:3156 DUSTIN ROAD
Practice Address - Street 2:SUITE# 302
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616
Practice Address - Country:US
Practice Address - Phone:419-741-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1800854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health