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General NPI Number Information
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NPI Number | 1003425554
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Entity Type | Individual
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Provider Name | DEONDRA JOINER LPC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 1218 HIGHWAY 431
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City | ROANOKE
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State | AL
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Zip | 36274-7316
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Country | US
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Telephone | 333-346-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 2645 COUNTRY CLUB RD
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City | ROANOKE
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State | AL
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Zip | 36274-8227
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Country | US
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Telephone | 334-646-0257
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4107
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License Number State | AL
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