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General NPI Number Information
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NPI Number | 1780957308
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Entity Type | Organization
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Legal Business Name | THE COUNSELING CENTER
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 343 DON LN
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City | CINCINNATI
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State | OH
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Zip | 45238-5862
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Country | US
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Telephone | 513-706-3157
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Fax |
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Provider Business Mailing Address
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Address Line | 343 DON LN
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City | CINCINNATI
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State | OH
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Zip | 45238-5862
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Country | US
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Telephone | 513-706-3157
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CINTHIA S JESSE
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Credential | LISW
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Telephone | 513-706-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I1100892
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License Number State | OH
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