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General NPI Number Information
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NPI Number | 1093289407
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Entity Type | Organization
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Legal Business Name | COUNSELING, ART THERAPY, & CONSULTATION, LLC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 4937 W BROAD ST STE 201
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City | COLUMBUS
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State | OH
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Zip | 43228-1646
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Country | US
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Telephone | 614-470-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 571 SIMBURY ST
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City | COLUMBUS
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State | OH
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Zip | 43228-2513
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Country | US
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Telephone | 614-470-0946
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHAELE M BARSNACK
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Credential | LPCC-S
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Telephone | 614-783-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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