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General NPI Number Information
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NPI Number | 1598305302
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Entity Type | Individual
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Provider Name | MORGAN WALLBROWN LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 5999B HALLE FARM DR
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City | WILLOUGHBY
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State | OH
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Zip | 44094-3072
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Country | US
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Telephone | 216-220-7495
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Fax |
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Provider Business Mailing Address
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Address Line | 9215 MENTOR AVE # 1020
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City | MENTOR
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State | OH
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Zip | 44060-6477
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Country | US
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Telephone | 440-289-2287
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1801381-TRNE
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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 | C.2002767
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2303911
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License Number State | OH
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