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General NPI Number Information
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NPI Number | 1184250185
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Entity Type | Organization
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Legal Business Name | ALLIANCE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 2011 GLAMORGAN ST. SUITE B
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City | ALLIANCE
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State | OH
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Zip | 44601
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Country | US
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Telephone | 330-680-9020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2688
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City | ALLIANCE
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State | OH
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Zip | 44601-0688
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Country | US
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Telephone | 330-680-9020
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/PRESIDENT
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Name | MRS. CRISTINA SUITCA
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Credential | MSW, LISW
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Telephone | 330-680-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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