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General NPI Number Information
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NPI Number | 1023398161
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Entity Type | Organization
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Legal Business Name | JAMIE JONES CULBRETH, LLC
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Dates
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Enumeration Date | 08/21/2011
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Last Update Date | 08/21/2011
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Provider Practice Location Address
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Address Line | 1640 POWERS FERRY RD BUILDING 9 / SUITE 300
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City | MARIETTA
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State | GA
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Zip | 30067-5491
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Country | US
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Telephone | 770-674-8415
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Fax | 770-953-0031
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Provider Business Mailing Address
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Address Line | 1640 POWERS FERRY RD BUILDING 9 / SUITE 300
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City | MARIETTA
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State | GA
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Zip | 30067-5491
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Country | US
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Telephone | 770-674-8415
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Fax | 770-953-0031
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. JAMIE JONES CULBRETH
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Credential | M.S., LPC
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Telephone | 770-674-8415
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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 | LPC006482
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License Number State | GA
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