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General NPI Number Information
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NPI Number | 1124702311
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Entity Type | Organization
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Legal Business Name | JOHN WALSH COUNSELING & CONSULTING INC
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 1230 LIBERTY BANK LN STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40222-5756
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Country | US
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Telephone | 502-432-4253
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Fax |
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Provider Business Mailing Address
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Address Line | 10900 OXFORD COMMONS CT
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City | LOUISVILLE
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State | KY
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Zip | 40291-5324
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Country | US
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Telephone | 502-432-4253
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN WALSH
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Credential | CADC
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Telephone | 502-432-4253
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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 |
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License Number State |
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