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General NPI Number Information
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NPI Number | 1255734570
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Entity Type | Individual
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Provider Name | PAMELA MILLER-CROOKS M.A., LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 18 N FORGE ST
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City | AKRON
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State | OH
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Zip | 44304-1317
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Country | US
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Telephone | 330-762-0591
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Fax |
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Provider Business Mailing Address
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Address Line | 18 N FORGE ST
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City | AKRON
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State | OH
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Zip | 44304-1317
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Country | US
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Telephone | 330-762-0591
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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 | E.1700217-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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