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General NPI Number Information
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NPI Number | 1225676471
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Entity Type | Individual
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Provider Name | GREGORY WILLIAM STIMLER LPCC
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Gender | Male
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 2112 ETTA BLVD
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City | BRUNSWICK
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State | OH
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Zip | 44212-4012
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Country | US
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Telephone | 330-356-8941
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 ETTA BLVD
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City | BRUNSWICK
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State | OH
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Zip | 44212-4012
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Country | US
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Telephone | 768-860-8021
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1902050-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.2404448
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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 | C.2103430
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.177666
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2404448
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License Number State | OH
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