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General NPI Number Information
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NPI Number | 1245826650
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Entity Type | Organization
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Legal Business Name | JOURNEY II FREEDOM COUNSELING
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 5151 MONROE ST STE 200
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City | TOLEDO
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State | OH
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Zip | 43623-3466
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Country | US
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Telephone | 419-368-2072
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Fax | 419-368-2072
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Provider Business Mailing Address
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Address Line | 222 E WATER ST
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City | OAK HARBOR
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State | OH
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Zip | 43449-1451
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Country | US
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Telephone | 419-341-6465
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Fax | 419-368-2072
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Authorized Official
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Title or Position | CEO
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Name | CHERYL MARIE JEFFERSON
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Credential | LISW
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Telephone | 419-368-2072
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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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