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General NPI Number Information
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NPI Number | 1255275434
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Entity Type | Individual
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Provider Name | COLIN JOSEPH MONG LPCC
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Gender | Male
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 1 NUNN DR
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City | NEWPORT
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State | KY
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Zip | 41099-0002
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Country | US
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Telephone | 740-703-8893
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 PRISCILLA LN
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City | CINCINNATI
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State | OH
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Zip | 45208-2934
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Country | US
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Telephone | 740-703-8893
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 294049
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License Number State | KY
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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 | E.2505554
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License Number State | OH
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