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NPI Code Detail

MEDICARE: JULIE R COUNTS LISW-S

MEDICARE: JULIE R COUNTS LISW-S
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
11041C0700XClinical Social WorkerI.0031001-SUPVOH

General Provider Information

NPI Number : 1619008125
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE R COUNTS LISW-S
Provider Business Mailing Address
First Line : 4761 STATE ROUTE 29
Second Line :
City : CELINA
State : OH
Zip : 45822-8216
Country : US
Telephone Number : 419-584-1000
Fax Number : 419-584-1825
Provider Business Practice Location Address
First Line : 4761 STATE ROUTE 29
Second Line :
City : CELINA
State : OH
Zip : 45822-8216
Country : US
Telephone Number : 419-584-1000
Fax Number : 419-584-1825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 06/03/2019

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Directions to “ JULIE R COUNTS LISW-S” Practice Location

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