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General NPI Number Information
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NPI Number | 1033577911
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Entity Type | Individual
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Provider Name | EMMA JACKSON SMITH NCC, LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 2017 CREEKLAND VIEW BLVD
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City | NASHVILLE
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State | TN
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Zip | 37207-3093
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Country | US
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Telephone | 973-903-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 CREEKLAND VIEW BLVD
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City | NASHVILLE
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State | TN
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Zip | 37207-3093
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Country | US
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Telephone | 973-903-6863
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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 | 0701008031
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC10930
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC15436
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 72052
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License Number State | TX
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