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General NPI Number Information
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NPI Number | 1023140381
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING ASSOCIATES INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 4425 MILITARY TRAIL SUITE 203
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City | JUPITER
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State | FL
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Zip | 33458-4817
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Country | US
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Telephone | 561-747-2775
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Fax | 561-747-1881
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Provider Business Mailing Address
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Address Line | 4425 MILITARY TRAIL STE 203
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City | JUPITER
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State | FL
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Zip | 33458-4817
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Country | US
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Telephone | 561-747-2775
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Fax | 561-747-1881
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GAIL DIANE GUILLORY
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Credential | LCSW
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Telephone | 561-747-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4347
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4786
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 4901
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 5367
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 6254
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW5740
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License Number State | FL
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