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General NPI Number Information
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NPI Number | 1043729346
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Entity Type | Organization
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Legal Business Name | JL AUSTIN COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 09/29/2017
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Provider Practice Location Address
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Address Line | 530 BEACON PKWY W STE 401
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3196
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Country | US
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Telephone | 205-266-2352
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Fax | 205-449-5635
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Provider Business Mailing Address
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Address Line | 1094 ASBURY CIR
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City | HELENA
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State | AL
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Zip | 35022-4346
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Country | US
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Telephone | 205-266-2352
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Fax | 205-449-5635
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. JACQUES L AUSTIN
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Credential | LPC-S
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Telephone | 205-266-2352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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