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General NPI Number Information
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NPI Number | 1033651658
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Entity Type | Individual
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Provider Name | YOLANDA ISELA BOARD LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1948 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2648
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Country | US
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Telephone | 866-534-2639
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Fax | 800-480-7578
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Provider Business Mailing Address
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Address Line | 600 WHITE OAK DR
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City | SPRINGFIELD
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State | OH
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Zip | 45504-4129
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Country | US
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Telephone | 937-728-9787
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | E.1800923-SUPV
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License Number State | OH
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