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General NPI Number Information
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NPI Number | 1316295728
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Entity Type | Individual
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Provider Name | ALLISON RICE CUSTAR LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1187 W. SPRING VALLEY PIKE
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City | DAYTON
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State | OH
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Zip | 45458
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Country | US
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Telephone | 937-815-1670
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Fax | 937-734-1343
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Provider Business Mailing Address
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Address Line | 1187 W. SPRING VALLEY PIKE
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City | DAYTON
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State | OH
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Zip | 45458
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Country | US
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Telephone | 937-815-1670
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Fax | 937-734-1343
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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 | E0800415SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E0800415
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.800415-SUPV
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0800415
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.800415-SUPV
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License Number State | OH
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