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NPI 1376976928

NPI 1376976928 : MELINDA A HAAF LICDC-CS,LCADC, LPCA : PEEBLES, OH

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General NPI Number Information
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    NPI Number           |    1376976928
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    Entity Type          |    Individual 
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    Provider Name        |    MELINDA A HAAF LICDC-CS,LCADC, LPCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2013
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    Last Update Date     |    08/15/2024
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Provider Practice Location Address
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    Address Line         |    25773 STATE ROUTE 41 
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    City                 |    PEEBLES
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    State                |    OH
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    Zip                  |    45660-8953
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    Country              |    US
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    Telephone            |    740-357-5528
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    615 ELSINORE PL STE 200 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45202-1459
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    Country              |    US
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    Telephone            |    513-834-7063
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    Fax                  |    513-873-1567
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    251941
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    LICDC.131001
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    261940
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    1100306
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    License Number State |    OH
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Taxonomy #5
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    279726
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    License Number State |    KY
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