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General NPI Number Information
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NPI Number | 1154137743
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Entity Type | Individual
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Provider Name | COURTNEY E JAMES MED, LPC-MHSP, RPT
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 604 SPRING ST
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City | CHARLOTTE
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State | TN
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Zip | 37036-4971
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Country | US
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Telephone | 615-789-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 6406 FRISCO AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-1235
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Country | US
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Telephone | 406-465-7761
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6911
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License Number State | TN
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