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General NPI Number Information
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NPI Number | 1386766467
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Entity Type | Organization
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Legal Business Name | RADIANT STAR COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 1846 DRESDEN RD SUITE A
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City | ZANESVILLE
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State | OH
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Zip | 43701-2349
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Country | US
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Telephone | 740-455-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 650 MAR SUE DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-9731
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Country | US
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Telephone | 740-454-8034
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JANICE LEE HELMBRECHT
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Credential | LICDC, LPCC
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Telephone | 740-454-8034
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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 | E0002712
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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 | 981381
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License Number State | OH
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