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General NPI Number Information
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NPI Number | 1962962332
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Entity Type | Organization
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Legal Business Name | S.E.R.E.N.E. COUNSELING CENTER
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 17325 EUCLID AVE STE 2176
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City | CLEVELAND
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State | OH
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Zip | 44112-1247
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Country | US
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Telephone | 216-254-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 13803 ROSALIE DR
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City | GARFIELD HTS
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State | OH
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Zip | 44125-1933
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Country | US
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Telephone | 216-254-7976
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Fax |
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Authorized Official
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Title or Position | PRESDIENT/OWNER
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Name | LECHANNE LEDGER
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Credential | LICDC
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Telephone | 216-254-7976
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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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