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General NPI Number Information
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NPI Number | 1477814879
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Entity Type | Organization
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Legal Business Name | SCIOTO COUNTY COUNSELING CENTER, INC
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 411 COURT ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3932
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Country | US
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Telephone | 740-354-6685
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Fax |
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Provider Business Mailing Address
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Address Line | 411 COURT ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3932
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Country | US
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Telephone | 740-354-6685
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Fax | 740-876-4005
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MARY BAILEY
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Credential |
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Telephone | 740-395-7930
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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 | 9999
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0273
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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 |
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License Number State |
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