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General NPI Number Information
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NPI Number | 1164538963
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL ADRAY LPCCSC, LICDC, SAP
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 313 CHILLICOTHE AVE
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City | HILLSBORO
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State | OH
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Zip | 45133-7378
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Country | US
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Telephone | 937-393-4562
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Fax | 937-393-2056
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Provider Business Mailing Address
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Address Line | 1571 STRAIT CREEK RD
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City | PEEBLES
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State | OH
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Zip | 45660-9582
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Country | US
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Telephone | 937-588-2621
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Fax | 937-393-2056
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 051040
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E2956
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E2956
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License Number State | OH
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