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General NPI Number Information
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NPI Number | 1932769197
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Entity Type | Individual
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Provider Name | JULIE A MAYER LICDC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 400 E STATE ST
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City | ATHENS
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State | OH
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Zip | 45701-1856
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Country | US
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Telephone | 740-362-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 400 EAST STREET
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City | ATHENS
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State | OH
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Zip | 45769
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Country | US
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Telephone | 740-326-6110
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.16244
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License Number State | OH
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