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General NPI Number Information
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NPI Number | 1699948737
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Entity Type | Individual
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Provider Name | JAMES A. QUANDT LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 205 N MAYSVILLE ST
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City | MT STERLING
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State | KY
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Zip | 40353-1149
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Country | US
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Telephone | 859-497-0594
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Fax | 859-432-1022
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Provider Business Mailing Address
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Address Line | PO BOX 782
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City | MT STERLING
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State | KY
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Zip | 40353-0782
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Country | US
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Telephone | 859-497-0594
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Fax | 859-432-1022
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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 | LCSW00001131
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW00001131
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License Number State | KY
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