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General NPI Number Information
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NPI Number | 1447871694
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Entity Type | Organization
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Legal Business Name | VIOLETA COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 2700 E MAIN ST STE 106
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City | BEXLEY
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State | OH
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Zip | 43209-2536
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Country | US
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Telephone | 614-330-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 E MAIN ST STE 106
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City | BEXLEY
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State | OH
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Zip | 43209-2536
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Country | US
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Telephone | 614-330-0732
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | VIOLETA G. FOWLER
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Credential | LMHC, LPCC-S
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Telephone | 614-330-0732
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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 |
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License Number State |
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