MEDICARE: PROGRESS PROFESSIONAL COUNSELING ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1295401354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS PROFESSIONAL COUNSELING ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	110 W MECHANIC ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1908
Country	:	US
Telephone Number	:	419-979-9577
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 W MECHANIC ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1908
Country	:	US
Telephone Number	:	419-979-9577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARIN DAVID DODDS
Credential	:	LPC
Telephone Number	:	419-979-9577

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	07/08/2024

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