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General NPI Number Information
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NPI Number | 1720533029
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Entity Type | Organization
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Legal Business Name | LKE COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 6250 GRAND CENTRAL AVE
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City | PARKERSBURG
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State | WV
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Zip | 26105-8924
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Country | US
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Telephone | 681-229-3027
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Fax | 681-229-3027
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Provider Business Mailing Address
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Address Line | 6250 GRAND CENTRAL AVE
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City | PARKERSBURG
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State | WV
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Zip | 26105-8924
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Country | US
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Telephone | 681-229-3027
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Fax | 681-229-3027
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Authorized Official
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Title or Position | OWNER/LPC
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Name | LINDA KAREN EMPFIELD
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Credential | LPC
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Telephone | 614-795-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2332-6487
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License Number State | WV
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