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General NPI Number Information
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NPI Number | 1497847115
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Entity Type | Individual
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Provider Name | CAROL K. HABURAY LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 210 E MILLTOWN RD SUITE B
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City | WOOSTER
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State | OH
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Zip | 44691-1246
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Country | US
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Telephone | 330-345-3418
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Fax | 330-345-3420
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Provider Business Mailing Address
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Address Line | 210 E MILLTOWN RD SUITE B
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City | WOOSTER
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State | OH
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Zip | 44691-1246
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Country | US
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Telephone | 330-345-0955
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Fax | 330-345-3420
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0000833
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License Number State | OH
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