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General NPI Number Information
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NPI Number | 1154709988
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Entity Type | Individual
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Provider Name | JOHNNY LALONDE LPCC
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Gender | Male
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 1388 SUTTER ST STE 412
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5400
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Country | US
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Telephone | 407-921-6465
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 10TH AVE APT 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4648
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Country | US
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Telephone | 407-921-6465
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH10287
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License Number State | FL
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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 | LPCC 321
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License Number State | CA
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