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General NPI Number Information
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NPI Number | 1679839344
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Entity Type | Individual
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Provider Name | MICHELE DIANE TURNER LPCC-S, LICDC-CS
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Gender | Female
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Dates
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Enumeration Date | 04/07/2012
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 7519 MENTOR AVE # A103
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City | MENTOR
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State | OH
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Zip | 44060-5434
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Country | US
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Telephone | 216-282-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 7651 CHAGRIN RD
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-6331
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Country | US
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Telephone | 216-288-7460
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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 | 071036
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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 | C.0700428
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License Number State | OH
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