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Individual
MRS. TERESA A PAUL
Active
Individual
MRS. TERESA A PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0004365-SUPV
OH
101YP2500X
Professional Counselor
Primary
E.0004365-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
OHIO DEPARTMENT ALCOHOL DRUG SERVICES (ODADAS)
OH
01
—
0074946
OHIO DEPARTMENT MENTAL HEALTH (ODMH)
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
04/20/2007
Last updated
02/09/2017
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