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NPI Code Detail

MEDICARE: CLERMONT COUNSELING CENTER

MEDICARE: CLERMONT COUNSELING CENTER
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
1101Y00000XCounselor
2103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649259466
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLERMONT COUNSELING CENTER
Provider Business Mailing Address
First Line : 43 E MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1993
Country : US
Telephone Number : 513-947-7000
Fax Number : 513-947-7222
Provider Business Practice Location Address
First Line : 43 E MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1993
Country : US
Telephone Number : 513-947-7000
Fax Number : 513-947-7222
Authorized Official
Title or Position : CEO
Name : JAMES J O'NEIL
Credential :
Telephone Number : 513-354-5200
Provider Enumeration Date : 01/11/2006
Last Update Date : 08/11/2017

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Directions to “CLERMONT COUNSELING CENTER ” Practice Location

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