Ethan L Kiser, E2606146
Ethan L Kiser, E2606146 is a Mental Health Counselor in Lorain, Ohio. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Ohio.
- Years since qualifying
- 3
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
1205 BroadwayLorain, OH 44052-3409
Phone: (440) 240-1655
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence E.2606146 (OH) |
|---|
Record details
| NPI number | 1144989377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | E2606146 |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2021 |
| Last updated in NPPES | January 16, 2026 |
| Certification date | January 16, 2026 |
| Mailing address | 1205 Broadway, Lorain, OH 44052-3409 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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