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General NPI Number Information
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NPI Number | 1053830455
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Entity Type | Organization
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Legal Business Name | SYCAMORE COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10979 REED HARTMAN HWY STE 331C
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City | BLUE ASH
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State | OH
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Zip | 45242-2825
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Country | US
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Telephone | 513-903-7303
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Fax | 513-891-1065
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Provider Business Mailing Address
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Address Line | 10979 REED HARTMAN HWY STE 331C
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City | BLUE ASH
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State | OH
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Zip | 45242-2825
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Country | US
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Telephone | 513-903-7303
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. SHARON A SOWDERS
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Credential | EDD
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Telephone | 513-903-7303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 913142
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E2332
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6029
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License Number State | OH
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