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General NPI Number Information
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NPI Number | 1508175241
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Entity Type | Individual
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Provider Name | CHRISTINE JONES LPC, LICDC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 130 W 3RD ST
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City | DOVER
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State | OH
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Zip | 44622-2934
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Country | US
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Telephone | 330-343-6600
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Fax | 330-343-6405
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Provider Business Mailing Address
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Address Line | 130 W 3RD ST
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City | DOVER
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State | OH
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Zip | 44622-2934
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Country | US
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Telephone | 330-343-6600
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Fax | 330-343-6405
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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 | C1500901
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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 | 151203
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C1500901
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License Number State | OH
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