Provider Demographics
NPI:1972289064
Name:HEDITSIAN, XAVIER KUHLMAN (LPCC-S)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:KUHLMAN
Last Name:HEDITSIAN
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 OAK VIEW PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1827
Mailing Address - Country:US
Mailing Address - Phone:513-540-1301
Mailing Address - Fax:
Practice Address - Street 1:4030 SMITH RD STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1937
Practice Address - Country:US
Practice Address - Phone:513-540-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2001994-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health