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General NPI Number Information
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NPI Number | 1093918385
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Entity Type | Individual
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Provider Name | JASON L REICH LPC-MHSP
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 320 E MAIN STREET SUITE 200
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City | CHATTANOOGA
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State | TN
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Zip | 37408
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Country | US
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Telephone | 423-643-2246
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Fax | 423-643-2030
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Provider Business Mailing Address
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Address Line | 7305 JARNIGAN ROAD SUITE 230
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4874
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Country | US
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Telephone | 423-495-4345
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Fax | 423-495-4934
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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 | 0485
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License Number State | KY
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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 | LPC0000003565
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License Number State | TN
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