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General NPI Number Information
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NPI Number | 1881327898
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Entity Type | Organization
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Legal Business Name | SUSAN ADAMS COUNSELING, LLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 14900 DETROIT AVE STE 306
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City | LAKEWOOD
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State | OH
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Zip | 44107-3922
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Country | US
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Telephone | 440-482-7806
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Fax |
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Provider Business Mailing Address
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Address Line | 2003 AQUA MARINE BLVD # 354
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City | AVON LAKE
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State | OH
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Zip | 44012-2634
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Country | US
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Telephone | 440-320-3396
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | SUSAN ADAMS
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Credential | LPCC
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Telephone | 440-320-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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