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General NPI Number Information
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NPI Number | 1508222316
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Entity Type | Individual
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Provider Name | ULLANDA DAWN DOUGLAS LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 830 W BROADWAY ST
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-2701
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Country | US
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Telephone | 833-510-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400 STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone | 833-510-4357
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Fax | 866-460-2997
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 252289
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701015838
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License Number State | VA
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