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General NPI Number Information
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NPI Number | 1811203888
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Entity Type | Organization
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Legal Business Name | COUNSELING AND PSYCHOLOGICAL ASSOC. LLC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 1683 N HAMETOWN RD
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City | AKRON
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State | OH
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Zip | 44333-1059
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Country | US
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Telephone | 330-666-4541
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Fax |
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Provider Business Mailing Address
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Address Line | 1683 N HAMETOWN RD
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City | AKRON
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State | OH
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Zip | 44333-1059
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Country | US
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Telephone | 330-666-4541
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | SUSANNAH PERKINSON
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Credential | LISW-S
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Telephone | 330-666-4541
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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 | I 0000552
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License Number State | OH
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