Provider Demographics
NPI:1295401354
Name:PROGRESS PROFESSIONAL COUNSELING AND CONSULTATION LLC
Entity Type:Organization
Organization Name:PROGRESS PROFESSIONAL COUNSELING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DODDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:419-979-9577
Mailing Address - Street 1:110 W MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-1908
Mailing Address - Country:US
Mailing Address - Phone:419-979-9577
Mailing Address - Fax:
Practice Address - Street 1:110 W MECHANIC ST
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-1908
Practice Address - Country:US
Practice Address - Phone:419-979-9577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty