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General NPI Number Information
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NPI Number | 1346723178
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Entity Type | Organization
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Legal Business Name | DEATON & DEATON COUNSELING & CONSULTING
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 100 NEW HAVEN PATH APT 2
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City | GEORGETOWN
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State | KY
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Zip | 40324-2667
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Country | US
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Telephone | 859-421-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NEW HAVEN PATH APT 2
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City | GEORGETOWN
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State | KY
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Zip | 40324-2667
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Country | US
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Telephone | 859-421-3788
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ELIZABETH VICTORIA GRIVETTI
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Credential |
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Telephone | 859-421-3788
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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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Taxonomy #2
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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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