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General NPI Number Information
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NPI Number | 1144546680
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Entity Type | Organization
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Legal Business Name | NEXUS COUNSELING GROUP
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 145 W JOHNSTOWN RD
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City | GAHANNA
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State | OH
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Zip | 43230-2700
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Country | US
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Telephone | 614-473-9500
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Fax | 614-473-9545
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Provider Business Mailing Address
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Address Line | 3433 AGLER RD SUITE 1500
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City | COLUMBUS
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State | OH
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Zip | 43219-3387
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Country | US
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Telephone | 614-893-3819
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Fax | 614-273-0416
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. RODA ISMAIL HASSAN
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Credential | MSW, LISW-S
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Telephone | 614-473-9500
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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 | 1.0800095-SUPV
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License Number State | OH
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