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General NPI Number Information
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NPI Number | 1306730957
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Entity Type | Organization
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Legal Business Name | SNOWLIGHT COUNSELING, LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 22 W MAIN ST
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City | WESTERVILLE
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State | OH
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Zip | 43081-2110
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Country | US
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Telephone | 614-233-1631
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Fax |
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Provider Business Mailing Address
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Address Line | 249 IVERSON WAY
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City | GALLOWAY
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State | OH
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Zip | 43119-8352
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Country | US
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Telephone | 937-661-4419
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEYTON KIDDER
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Credential |
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Telephone | 614-233-1631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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