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General NPI Number Information
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NPI Number | 1093365934
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Entity Type | Individual
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Provider Name | JAMES HARRISON LPC
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Gender | Male
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 233 PECAN PARK AVE STE D
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3362
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Country | US
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Telephone | 318-704-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 415 BIENVILLE ST STE 6
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5700
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Country | US
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Telephone | 318-652-8140
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Fax | 318-521-8065
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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 | 8465
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License Number State | LA
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