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General NPI Number Information
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NPI Number | 1841817095
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Entity Type | Individual
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Provider Name | EMILY J. BRYAN LPCC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | COMMUNITY SUPPORT SERVICES, INC. 150 CROSS ST.
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City | AKRON
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State | OH
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Zip | 44311-1026
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Country | US
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Telephone | 330-253-9388
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Fax | 330-376-6726
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Provider Business Mailing Address
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Address Line | COMMUNITY SUPPORT SERVICES, INC. 150 CROSS STREET
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City | AKRON
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State | OH
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Zip | 44311-1026
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Country | US
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Telephone | 330-253-9388
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Fax | 330-376-6726
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2303810
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C2002801TRN
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.175370
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License Number State | OH
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