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General NPI Number Information
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NPI Number | 1386029627
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Entity Type | Individual
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Provider Name | LATOYA CAVER JACKSON ADAMS LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2173 N RIDGE RD E STE E
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City | LORAIN
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State | OH
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Zip | 44055-3400
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Country | US
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Telephone | 440-320-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 202 E BAGLEY RD
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City | BEREA
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State | OH
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Zip | 44017-2058
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Country | US
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Telephone |
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2203006-SUPV
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License Number State | OH
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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 | E.2203006
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License Number State | OH
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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 | E.2203006-SUPV
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License Number State | OH
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