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General NPI Number Information
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NPI Number | 1073223210
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Entity Type | Organization
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Legal Business Name | CDL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 2690 W OXFORD LOOP STE 146
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City | OXFORD
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State | MS
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Zip | 38655-5575
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Country | US
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Telephone | 662-801-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 PARKVIEW LN
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City | OXFORD
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State | MS
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Zip | 38655-2567
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Country | US
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Telephone | 662-801-5535
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Fax |
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Authorized Official
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Title or Position | P-LPC
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Name | MRS. CHANDLER DAVIS LAWS
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Credential | P-LPC, NCC, BC-TMH
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Telephone | 662-801-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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