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General NPI Number Information
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NPI Number | 1285171884
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Entity Type | Individual
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Provider Name | DIANN ELDER LICDC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2017
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 400 E STATE ST STE D
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City | ATHENS
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State | OH
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Zip | 45701-1870
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Country | US
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Telephone | 740-326-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 231 DELCOURT DR
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City | SPRINGFIELD
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State | OH
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Zip | 45506-3417
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Country | US
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Telephone | 937-360-8314
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.1600631
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License Number State | OH
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