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General NPI Number Information
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NPI Number | 1114987138
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Entity Type | Organization
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Legal Business Name | COSHOCTON COUNTY DRUG & ALCOHOL COUNCIL, INC
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 610 WALNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812-1655
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Country | US
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Telephone | 740-622-0033
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Fax | 740-622-0210
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Provider Business Mailing Address
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Address Line | 610 WALNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812-1655
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Country | US
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Telephone | 740-622-0033
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Fax | 740-622-0210
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Authorized Official
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Title or Position | CO-EXECUTIVE DIRECTOR
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Name | JEANETTE SUE HALL
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Credential | LPCC-S, LICDC-CS
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Telephone | 740-622-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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