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NPI 1639340201

NPI 1639340201 : AHNA REGINA CATTARIN LPCC-S, LCDCIII : UNIONTOWN, OH

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General NPI Number Information
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    NPI Number           |    1639340201
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    Entity Type          |    Individual 
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    Provider Name        |    AHNA REGINA CATTARIN LPCC-S, LCDCIII
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2008
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    Last Update Date     |    07/06/2023
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Provider Practice Location Address
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    Address Line         |    3575 FOREST LAKE DR STE 100 
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    City                 |    UNIONTOWN
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    State                |    OH
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    Zip                  |    44685-8115
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    Country              |    US
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    Telephone            |    330-703-0105
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3575 FOREST LAKE DR STE 100 
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    City                 |    UNIONTOWN
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    State                |    OH
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    Zip                  |    44685-8115
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    Country              |    US
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    Telephone            |    330-703-0105
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    031084
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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       |    E.0004050
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    License Number State |    OH
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