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NPI 1154842391

NPI 1154842391 : SHEILA RAE PINER LPCC : KETTERING, OH

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General NPI Number Information
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    NPI Number           |    1154842391
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    Entity Type          |    Individual 
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    Provider Name        |    SHEILA RAE PINER LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/28/2017
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    4100 ACKERMAN BLVD 
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    City                 |    KETTERING
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    State                |    OH
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    Zip                  |    45429-4612
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    Country              |    US
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    Telephone            |    937-203-1669
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    Fax                  |    937-203-1669
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Provider Business Mailing Address
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    Address Line         |    4100 ACKERMAN BLVD 
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    City                 |    KETTERING
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    State                |    OH
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    Zip                  |    45429
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    Country              |    US
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    Telephone            |    937-203-1669
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    Fax                  |    937-795-3345
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    C1700493
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    E.2001592
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    License Number State |    OH
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