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General NPI Number Information
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NPI Number | 1811591050
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Entity Type | Organization
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Legal Business Name | ABIDE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 410 W LOVELAND AVE STE EF
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City | LOVELAND
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State | OH
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Zip | 45140-2350
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Country | US
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Telephone | 513-543-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 6332 DUSTYWIND LN
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City | LOVELAND
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State | OH
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Zip | 45140-7730
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Country | US
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Telephone | 513-543-0051
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA WARREN
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Credential | MA, LPC
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Telephone | 513-543-0051
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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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