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General NPI Number Information
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NPI Number | 1952865024
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Entity Type | Individual
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Provider Name | MICHAEL LEE CATANZARITO MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1451 LUCAS RD
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City | MANSFIELD
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State | OH
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Zip | 44903-8682
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Country | US
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Telephone | 419-589-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 ROCKTON RD
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City | DU BOIS
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State | PA
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Zip | 15801-9620
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Country | US
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Telephone | 814-661-3552
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC012162
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC012162
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License Number State | PA
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