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General NPI Number Information
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NPI Number | 1851642151
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Entity Type | Organization
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Legal Business Name | FIRST STEPS COUNSELING OF ALLIANCE LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 1652 S UNION AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4349
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Country | US
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Telephone | 330-754-3705
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Fax | 330-754-3706
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Provider Business Mailing Address
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Address Line | 1652 S UNION AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4349
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Country | US
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Telephone | 330-754-3705
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Fax | 330-754-3706
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANNON ORTIZ
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Credential | PCC, MFT
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Telephone | 330-631-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 1100002
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M0700002
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1000016
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License Number State | OH
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