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General NPI Number Information
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NPI Number | 1699274480
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Entity Type | Individual
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Provider Name | CORTNEY GALE LANSANAH LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 333 BABBITT RD STE 350
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City | EUCLID
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State | OH
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Zip | 44123-1688
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Country | US
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Telephone | 330-372-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2286 MILTON ST SE
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City | WARREN
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State | OH
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Zip | 44484-5245
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Country | US
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Telephone | 330-372-0000
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1700632-TRNE
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License Number State | OH
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