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General NPI Number Information
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NPI Number | 1861321747
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Entity Type | Individual
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Provider Name | AMEENA MARIE IGRAM LPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 4983 RIDGE RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9738
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Country | US
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Telephone | 419-681-4241
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 MONROE AVE UNIT FRONT
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City | CLEVELAND
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State | OH
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Zip | 44113-3994
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Country | US
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Telephone | 440-454-3840
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Fax |
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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 | C.2608061
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License Number State | OH
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