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General NPI Number Information
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NPI Number | 1922654276
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HORIZON COUNSELING
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 6479 BRECKSVILLE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-3419
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Country | US
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Telephone | 216-264-1058
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Fax | 216-525-3116
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Provider Business Mailing Address
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Address Line | 6479 BRECKSVILLE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-3419
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Country | US
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Telephone | 216-264-1058
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Fax | 216-525-3116
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. KRISITNE JORDAN
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Credential | LISWS
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Telephone | 216-906-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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