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General NPI Number Information
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NPI Number | 1003637513
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Entity Type | Individual
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Provider Name | ALLISON GRIFFIN LPC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 18911 HWY CC
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City | BLACKWATER
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State | MO
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Zip | 65322
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Country | US
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Telephone | 888-442-6951
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Fax |
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Provider Business Mailing Address
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Address Line | 9831 CAPE VERDE LN
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City | BLACKWATER
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State | MO
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Zip | 65322-2225
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Country | US
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Telephone | 660-888-9114
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2021030436
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License Number State | MO
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