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NPI 1538158530

NPI 1538158530 : HANNAH SUSAN ST. CLAIR LPCC;NCAC;CADC : ELIZABETHTOWN, KY

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General NPI Number Information
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    NPI Number           |    1538158530
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH SUSAN ST. CLAIR LPCC;NCAC;CADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/21/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    800 CARDINAL DR STE. 201
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-3902
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    Country              |    US
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    Telephone            |    270-769-3445
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 CARDINAL DR STE. 201
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-3902
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    Country              |    US
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    Telephone            |    270-769-3445
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    Fax                  |    
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    0406
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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       |    0635
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    License Number State |    KY
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