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General NPI Number Information
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NPI Number | 1619607694
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Entity Type | Individual
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Provider Name | TESSA MALONEY LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 150 E WILSON BRIDGE RD STE 220
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City | WORTHINGTON
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State | OH
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Zip | 43085-6302
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Country | US
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Telephone | 614-526-9846
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Fax | 614-215-9866
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Provider Business Mailing Address
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Address Line | 2985 GOLDEN OAK DR
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City | HILLIARD
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State | OH
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Zip | 43026-7983
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Country | US
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Telephone | 330-442-6873
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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 | E.2404555
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License Number State | OH
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