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General NPI Number Information
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NPI Number | 1205390515
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Entity Type | Organization
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Legal Business Name | SOUTH DAYTON COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 925 CONGRESS PARK DR STE D
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City | DAYTON
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State | OH
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Zip | 45459-4099
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Country | US
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Telephone | 937-242-3298
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Fax | 937-528-2170
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Provider Business Mailing Address
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Address Line | 925 CONGRESS PARK DR STE D
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City | DAYTON
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State | OH
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Zip | 45459-4099
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Country | US
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Telephone | 937-242-3298
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Fax | 937-528-2170
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. PEGGY L VOLTERS
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Credential | MS, LPCC-S, IMFT
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Telephone | 937-242-3298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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