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General NPI Number Information
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NPI Number | 1922301134
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Entity Type | Organization
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Legal Business Name | WELLNESS COUNSELING LLC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 2929 KENNY ROAD SUITE 185
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City | COLUMBUS
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State | OH
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Zip | 43221-2414
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Country | US
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Telephone | 614-397-7954
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Fax | 614-262-6622
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Provider Business Mailing Address
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Address Line | 2929 KENNY ROAD SUJITE 185
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City | COLUMBUS
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State | OH
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Zip | 43214-2414
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Country | US
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Telephone | 614-397-7954
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Fax | 614-262-6622
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | JENNIFER J FARKAS
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Credential | LISW-S
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Telephone | 614-397-7954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I 0600077
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License Number State | OH
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