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NPI Code Detail

MEDICARE: JAMES WURSCHUM LPC

MEDICARE: JAMES WURSCHUM LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC.2507237OH
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1306619184
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WURSCHUM LPC
Provider Business Mailing Address
First Line : 4653 E MAIN ST
Second Line :
City : WHITEHALL
State : OH
Zip : 43213-3298
Country : US
Telephone Number : 614-875-2371
Fax Number :
Provider Business Practice Location Address
First Line : 4653 E MAIN ST
Second Line :
City : WHITEHALL
State : OH
Zip : 43213-3298
Country : US
Telephone Number : 614-875-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2023
Last Update Date : 12/18/2025

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