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General NPI Number Information
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NPI Number | 1861930836
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL MOUNTS M.ED., AADC, LPC
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Gender | Male
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 376 KENMORE DR
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City | DANVILLE
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State | WV
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Zip | 25053-7083
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Country | US
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Telephone | 304-525-7851
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Fax |
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Provider Business Mailing Address
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Address Line | 99 CRACKER BARREL DR STE 100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1650
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Country | US
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Telephone | 304-525-7851
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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 | 2440
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18-308
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License Number State | WV
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