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General NPI Number Information
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NPI Number | 1568026300
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Entity Type | Organization
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Legal Business Name | COUPLES, CHILDREN, FAMILY, AND INDIVIDUAL COUNSELING, LLC
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 59 E. MAIN ST.
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City | WAKEMAN
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State | OH
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Zip | 44889
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Country | US
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Telephone | 440-839-2200
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Fax | 888-408-7306
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Provider Business Mailing Address
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Address Line | 59 E. MAIN ST.
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City | WAKEMAN
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State | OH
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Zip | 44889
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Country | US
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Telephone | 440-839-2200
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Fax | 888-408-7306
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LAURA WHEELER
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Credential | LPCC, LMFT
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Telephone | 440-839-2200
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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 |
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License Number State |
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