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General NPI Number Information
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NPI Number | 1659136570
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Entity Type | Organization
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Legal Business Name | PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 8963 KINGSRIDGE DR STE A
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City | DAYTON
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State | OH
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Zip | 45458-1623
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Country | US
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Telephone | 513-393-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 80 HIGHWAY 2227
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City | SOMERSET
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State | KY
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Zip | 42503-1562
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Country | US
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Telephone | 513-393-0969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN FIELDS
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Credential |
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Telephone | 513-393-0969
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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 |
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License Number State |
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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 |
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License Number State |
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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 |
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License Number State |
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