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General NPI Number Information
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NPI Number | 1790902823
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Entity Type | Organization
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Legal Business Name | WILLIAM L GRIFFIN JR CHRISTIAN COUNSELING CENTER INC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 181 WEST CHURCH STREET
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City | PICKERINGTON
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State | OH
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Zip | 43147-1212
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Country | US
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Telephone | 614-837-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 181 WEST CHURCH STREET
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City | PICKERINGTON
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State | OH
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Zip | 43147-1212
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Country | US
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Telephone | 614-837-1744
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Fax |
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Authorized Official
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Title or Position | CORPORATION PRES STAUTORY AGENT
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Name | MR. WILLIAM LAMSON GRIFFIN III
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Credential | MED LPCC
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Telephone | 614-837-1744
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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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