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General NPI Number Information
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NPI Number | 1265981633
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Entity Type | Individual
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Provider Name | RACHEL J WAGERS LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 200 HOME RD
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City | COVINGTON
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State | KY
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Zip | 41011-1942
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Country | US
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Telephone | 859-261-8768
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Fax | 859-291-2431
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Provider Business Mailing Address
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Address Line | 75 CAVALIER BLVD STE. 110
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City | FLORENCE
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State | KY
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Zip | 41042-3950
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 170499
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 247209
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License Number State | KY
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