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General NPI Number Information
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NPI Number | 1306454533
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Entity Type | Organization
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Legal Business Name | DRYAD COUNSELING, LLC
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 17113 MARTHA RD
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City | CLEVELAND
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State | OH
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Zip | 44135
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Country | US
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Telephone | 216-200-6738
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Fax |
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Provider Business Mailing Address
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Address Line | 21887 LORAIN RD # 98
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-3330
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Country | US
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Telephone | 216-200-6738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACHARY PICHLER
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Credential | LPC
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Telephone | 216-200-6738
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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 |
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License Number State |
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