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NPI 1588674196

NPI 1588674196 : DIANE M MORRIS LPCC : WESTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1588674196
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE M MORRIS LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    774 PARK MEADOW RD 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43081
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    Country              |    US
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    Telephone            |    614-882-9338
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    Fax                  |    614-882-3401
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Provider Business Mailing Address
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    Address Line         |    774 PARK MEADOW RD 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43081
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    Country              |    US
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    Telephone            |    614-882-9338
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    Fax                  |    614-882-3401
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    0007774
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    License Number State |    OH
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