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General NPI Number Information
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NPI Number | 1326450552
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Entity Type | Individual
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Provider Name | PATRICIA MARES PCC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 382 ARCH ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1518
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Country | US
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Telephone | 740-804-6800
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Fax | 740-721-4155
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Provider Business Mailing Address
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Address Line | 841 E MAIN ST STE B
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-3509
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Country | US
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Telephone | 740-703-5048
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Fax | 740-721-4155
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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 | E.0900309
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License Number State | OH
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