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General NPI Number Information
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NPI Number | 1376479162
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Entity Type | Organization
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Legal Business Name | EMERALD CITY COUNSELING
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 19511 PURITAS AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-1061
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Country | US
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Telephone | 216-224-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 19511 PURITAS AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-1061
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Country | US
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Telephone | 216-224-1021
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. ANN MARIE PETRICCA
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Credential | M.ED., LPCC
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Telephone | 216-224-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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