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General NPI Number Information
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NPI Number | 1629768247
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Entity Type | Organization
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Legal Business Name | ANDNATE COUNSELING AND WELLNESS SERVICES, A LICENSED CLINICAL SOCIAL W
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3500 LORAIN AVE STE 400
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City | CLEVELAND
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State | OH
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Zip | 44113-3726
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Country | US
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Telephone | 310-439-9049
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 LORAIN AVE STE 400
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City | CLEVELAND
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State | OH
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Zip | 44113-3726
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Country | US
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Telephone | 310-439-9049
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YESENIA N. CARPIO
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Credential | LISW/LCSW
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Telephone | 310-439-9049
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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