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General NPI Number Information
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NPI Number | 1154700896
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Entity Type | Organization
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Legal Business Name | BURROUGHS & JONES COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1216 DAWSON RD STE 110
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City | ALBANY
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State | GA
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Zip | 31707-3800
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Country | US
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Telephone | 229-392-4457
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Fax | 229-382-8353
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Provider Business Mailing Address
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Address Line | PO BOX 2036
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City | TIFTON
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State | GA
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Zip | 31793-2036
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Country | US
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Telephone | 480-748-9534
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Fax | 229-382-8353
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Authorized Official
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Title or Position | CEO
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Name | JAMES E BURROUGHS
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Credential | MBA
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Telephone | 229-392-4457
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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 | LPC008251
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License Number State | GA
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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 | LPC008251
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License Number State | GA
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