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Organization
TASC OF SOUTHEAST OHIO
Active
Organization
TASC OF SOUTHEAST OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE BURRIS (FISCAL MANAGER)
(740) 446-6471
Entity
Organization
Contact information
Practice address
499 JACKSON PIKE, GALLIPOLIS, OH 45631-1398
(740) 446-6471
Mailing address
PO BOX 88, GALLIPOLIS, OH 45631-0088
(740) 446-6471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065834
—
OH
Enumeration date
04/07/2022
Last updated
04/07/2022
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