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General NPI Number Information
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NPI Number | 1952532772
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Entity Type | Individual
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Provider Name | G. WILLIAM ANDERSON M.A. LPC
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Gender | Male
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 820 ROTCH AVE NE
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City | MASSILLON
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State | OH
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Zip | 44646-4479
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Country | US
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Telephone | 330-830-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 325 LAKE AVE NE
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City | MASSILLON
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State | OH
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Zip | 44646-4349
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Country | US
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Telephone | 330-830-3121
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C0701108
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C0701108
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C0701108
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | C0701108
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C0701108
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | C0701108
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License Number State | OH
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