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General NPI Number Information
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NPI Number | 1659531911
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Entity Type | Individual
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Provider Name | DAWN MARIE RIST-OPAL LPCC-S, LICDS-CS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 7580 NORTHCLIFF AVE
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City | BROOKLYN
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State | OH
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Zip | 44144-3270
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Country | US
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Telephone | 216-206-7000
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Fax | 216-206-6472
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Provider Business Mailing Address
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Address Line | 7580 NORTHCLIFF AVE
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City | BROOKLYN
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State | OH
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Zip | 44144-3270
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Country | US
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Telephone | 216-206-7000
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Fax | 216-206-6472
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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 | LICDC.965797
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.0002387 SUPV
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License Number State | OH
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