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General NPI Number Information
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NPI Number | 1578756367
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Entity Type | Individual
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Provider Name | LINDA M. LIMBURG LPCC-S, CDCA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 822 KUMHO DR STE 101
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City | FAIRLAWN
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State | OH
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Zip | 44333-9298
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Country | US
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Telephone | 253-245-1807
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 GORDON AVE NW
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City | MASSILLON
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State | OH
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Zip | 44647-5901
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Country | US
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Telephone | 330-313-0831
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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 | CDCA.100799
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C0601002
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0601002-SUPV
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License Number State | OH
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