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General NPI Number Information
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NPI Number | 1235317421
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Entity Type | Organization
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Legal Business Name | KIDZ KOUNSELING, INC.
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Dates
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Enumeration Date | 02/10/2008
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Last Update Date | 02/10/2008
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Provider Practice Location Address
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Address Line | 771 S EWING ST
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City | LANCASTER
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State | OH
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Zip | 43130-9405
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Country | US
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Telephone | 740-653-5439
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Fax | 740-653-5436
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Provider Business Mailing Address
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Address Line | 771 S EWING ST
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City | LANCASTER
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State | OH
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Zip | 43130-9405
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Country | US
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Telephone | 740-653-5439
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Fax | 740-653-5436
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Authorized Official
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Title or Position | PRESIDENT/OWNER/COUNSELOR
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Name | MICHELE M PREUSS
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Credential | LPCC
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Telephone | 740-653-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0002668
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License Number State | OH
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