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General NPI Number Information
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NPI Number | 1013996271
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Entity Type | Organization
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Legal Business Name | CHURCHILL COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 01/15/2006
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 4531 BELMONT AVENUE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1041
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Country | US
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Telephone | 330-759-3040
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Fax | 330-759-3070
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Provider Business Mailing Address
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Address Line | P.O. BOX 3025
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-0025
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Country | US
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Telephone | 330-759-3040
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Fax | 330-759-3070
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Authorized Official
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Title or Position | CEO
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Name | MS. TONI DIMARGIO
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Credential | MS, LPCC
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Telephone | 330-270-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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