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General NPI Number Information
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NPI Number | 1578941381
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Entity Type | Organization
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Legal Business Name | JAY HASH LLC
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 800 GALLIA ST STE 600
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4097
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Country | US
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Telephone | 740-727-1520
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Fax | 740-353-6627
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Provider Business Mailing Address
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Address Line | 800 GALLIA ST STE 600
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4097
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Country | US
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Telephone | 740-353-4673
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Fax | 740-353-5800
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Authorized Official
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Title or Position | OWNER/CEO/CLINICAL DIRECTOR
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Name | MR. JOHN LAWLER HASH JR.
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Credential | LPCC-S LICDC-CS
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Telephone | 740-727-1520
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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 | 965698
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License Number State | OH
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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 | E3127
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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