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General NPI Number Information
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NPI Number | 1659947604
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Entity Type | Organization
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Legal Business Name | WITHIN REACH COUNSELING, LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 138 S FAYETTE ST
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-2232
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Country | US
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Telephone | 740-604-9373
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Fax |
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Provider Business Mailing Address
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Address Line | 741 LINDEN AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1292
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Country | US
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Telephone | 740-572-0679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA MARIE LEE
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Credential | LPCC-S
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Telephone | 740-604-9373
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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 | 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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