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General NPI Number Information
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NPI Number | 1245108463
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Entity Type | Individual
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Provider Name | VERNIQUE J. COLEMAN-STOKES PCC-S, LICDC-CS,
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 9049 SPRINGBORO PIKE
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City | MIAMISBURG
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State | OH
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Zip | 45342-4926
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Country | US
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Telephone | 937-759-0545
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Fax | 937-759-0549
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Provider Business Mailing Address
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Address Line | 9049 SPRINGBORO PIKE
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City | MIAMISBURG
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State | OH
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Zip | 45342-4926
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Country | US
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Telephone | 937-759-0545
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Fax | 937-759-0549
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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 | 031113
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E7704
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 1184
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License Number State | OH
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