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NPI 1316988603

NPI 1316988603 : PATRICK JOSEPH WARD SS, LMFT,LMHC,SAP : TAVARES, FL

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General NPI Number Information
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    NPI Number           |    1316988603
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK JOSEPH WARD SS, LMFT,LMHC,SAP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    101 E MAUD ST 
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    City                 |    TAVARES
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    State                |    FL
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    Zip                  |    32778-3249
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    Country              |    US
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    Telephone            |    352-253-9348
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    Fax                  |    352-253-9348
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Provider Business Mailing Address
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    Address Line         |    101 E MAUD ST 
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    City                 |    TAVARES
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    State                |    FL
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    Zip                  |    32778-3249
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    Country              |    US
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    Telephone            |    352-253-9348
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    Fax                  |    352-253-9348
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    SAP
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MH5422
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    MT1965
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    SS690
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    License Number State |    FL
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