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General NPI Number Information
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NPI Number | 1932564770
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Entity Type | Individual
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Provider Name | TASHEA CAMPBELL LPCCS
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Gender | Female
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 102 W MAIN ST UNIT 902
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City | NEW ALBANY
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State | OH
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Zip | 43054-9191
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Country | US
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Telephone | 614-383-8375
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Fax | 614-983-1106
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Provider Business Mailing Address
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Address Line | 102 W MAIN ST UNIT 902
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City | NEW ALBANY
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State | OH
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Zip | 43054-9191
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Country | US
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Telephone | 614-383-8375
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Fax | 614-983-1106
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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 | E.1901013-SUPV
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License Number State | OH
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