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General NPI Number Information
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NPI Number | 1891032538
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Entity Type | Organization
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Legal Business Name | GRADUATE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 4030 MOUNT CARMEL TOBASCO RD STE 102
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City | CINCINNATI
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State | OH
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Zip | 45255-3408
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Country | US
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Telephone | 513-843-6895
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 MOUNT CARMEL TOBASCO RD SUITE 102
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City | CINCINNATI
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State | OH
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Zip | 45255-3408
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Country | US
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Telephone | 513-843-6895
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JOY A WILSON
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Credential | LPCC-S
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Telephone | 513-843-6895
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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 | E 3160
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License Number State | OH
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