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NPI 1992853071

NPI 1992853071 : JEFFREY SCOTT CASE M.ED. : CLEARFIELD, PA

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General NPI Number Information
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    NPI Number           |    1992853071
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY SCOTT CASE M.ED.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/08/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    109 E LOCUST ST 
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    City                 |    CLEARFIELD
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    State                |    PA
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    Zip                  |    16830-2412
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    Country              |    US
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    Telephone            |    814-375-4151
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    Fax                  |    814-375-7179
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Provider Business Mailing Address
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    Address Line         |    452 TREASURE LK 
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    City                 |    DU BOIS
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    State                |    PA
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    Zip                  |    15801-9010
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    Country              |    US
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    Telephone            |    814-372-2194
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    Fax                  |    814-375-7179
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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       |    4694
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    License Number State |    PA
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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       |    6052
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    License Number State |    PA
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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       |    PC001818
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    PC001818
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    License Number State |    PA
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