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General NPI Number Information
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NPI Number | 1417726456
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Entity Type | Organization
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Legal Business Name | FULL SPHERE COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 1658 HERALD AVE
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City | CINCINNATI
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State | OH
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Zip | 45207
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Country | US
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Telephone | 513-223-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 8326 HAMBLETONIAN DR
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City | CINCINNATI
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State | OH
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Zip | 45249-1308
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Country | US
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Telephone | 513-223-0767
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. KEVIN JAMISON
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Credential | ED.D, LPCC, LSW
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Telephone | 513-223-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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