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General NPI Number Information
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NPI Number | 1306400395
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Entity Type | Organization
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Legal Business Name | NORTHERN SUMMIT COUNSELING, LLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 4526 STOW RD SUITE A
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City | STOW
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State | OH
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Zip | 44224
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Country | US
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Telephone | 330-752-1616
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Fax | 330-217-1680
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Provider Business Mailing Address
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Address Line | 4526 STOW RD SUITE A
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City | STOW
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State | OH
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Zip | 44224
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Country | US
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Telephone | 330-752-1616
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Fax | 330-217-1680
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Authorized Official
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Title or Position | PARTNER
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Name | MS. CHRISTINE M SAYRE
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Credential | LPCC-S
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Telephone | 330-605-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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