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General NPI Number Information
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NPI Number | 1184036782
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Entity Type | Organization
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Legal Business Name | HACKETT COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 05/30/2014
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Last Update Date | 05/30/2014
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Provider Practice Location Address
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Address Line | 10901 REED HARTMAN HWY SUITE 108
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City | BLUE ASH
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State | OH
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Zip | 45242-2831
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Country | US
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Telephone | 513-403-0648
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 EDWARDS RD
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City | CINCINNATI
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State | OH
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Zip | 45209-1900
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Country | US
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Telephone | 513-403-0648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBRA HACKETT
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Credential | LISW
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Telephone | 513-403-0648
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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 | 923349
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I7205
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License Number State | OH
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