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General NPI Number Information
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NPI Number | 1063430270
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Entity Type | Individual
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Provider Name | DEBRA LYNN SHERMAN LPCC, CCDC I
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 338 GRANVILLE ST
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City | GAHANNA
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State | OH
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Zip | 43230-2990
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Country | US
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Telephone | 614-475-7090
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Fax | 614-475-5208
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Provider Business Mailing Address
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Address Line | 4292 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43224-1676
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Country | US
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Telephone | 614-471-5381
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E-0002354
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0002354
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | E-0002354
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License Number State | OH
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