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General NPI Number Information
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NPI Number | 1417550906
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Entity Type | Individual
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Provider Name | JAMIE LYNN TEDRICK-MONROE LCDC3 & QMHS
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | SAFE2TALK2 CONSULTING, C/O TEDRICK-MONROE 841 E CENTER STREET
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City | BLANCHESTER
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State | OH
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Zip | 45107
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Country | US
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Telephone | 859-999-9499
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Fax | 937-783-2671
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Provider Business Mailing Address
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Address Line | C/O J. TEDRICK-MONROE 841 E CENTER STREET
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City | BLANCHESTER
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State | OH
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Zip | 45107
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Country | US
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Telephone | 859-999-9499
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Fax | 937-783-2671
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | OH
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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 | LCDC111.162549
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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 | CDCA.167010
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License Number State | OH
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