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General NPI Number Information
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NPI Number | 1154464691
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Entity Type | Organization
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Legal Business Name | TRANSITIONS INTERFAITH COUNSELING CENTER LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 MAIN ST
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1406
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Country | US
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Telephone | 304-654-4213
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 643
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City | ONA
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State | WV
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Zip | 25545-0643
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. JEAN CULBERTSON SUTTON
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Credential | LPC, M.DIV.
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Telephone | 304-654-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1529
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License Number State | WV
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