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General NPI Number Information
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NPI Number | 1245614965
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Entity Type | Organization
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Legal Business Name | ANCHOR COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 8500 STATION ST STE 101
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City | MENTOR
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State | OH
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Zip | 44060-4963
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Country | US
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Telephone | 440-792-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 STATION ST STE 101
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City | MENTOR
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State | OH
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Zip | 44060-4963
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Country | US
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Telephone | 440-792-5081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANET FETZER
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Credential | LPCC-S
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Telephone | 440-742-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0900249
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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 | E1200186
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License Number State | OH
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