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General NPI Number Information
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NPI Number | 1003604612
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Entity Type | Organization
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Legal Business Name | PRACTICAL SOLUTIONS COUNSELING LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 4301 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45416-1706
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Country | US
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Telephone | 937-470-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-4934
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Country | US
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Telephone | 937-504-8479
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Fax | 937-872-2079
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Authorized Official
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Title or Position | COUNSELOR
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Name | CLEAVON P MATTHEWS
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Credential | LPCC
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Telephone | 937-529-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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