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General NPI Number Information
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NPI Number | 1861640906
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Entity Type | Individual
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Provider Name | LORI JO MCCREADY MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 168 E MAIN ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-1534
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Country | US
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Telephone | 740-296-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 68620 SCOTT ST.
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City | LANSING
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State | OH
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Zip | 43934
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Country | US
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Telephone | 740-635-0310
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.0003280
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61453579
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License Number State | WA
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