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NPI 1164883278

NPI 1164883278 : COMPREHENSIVE COUNSELING SOLUTIONS, LLC : ARAB, AL

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General NPI Number Information
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    NPI Number           |    1164883278
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE COUNSELING SOLUTIONS, LLC 
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Dates
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    Enumeration Date     |    03/16/2016
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    Last Update Date     |    03/16/2016
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Provider Practice Location Address
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    Address Line         |    34 N MAIN ST STE 102
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    City                 |    ARAB
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    State                |    AL
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    Zip                  |    35016-1281
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    Country              |    US
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    Telephone            |    256-541-2295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1928 WEDGEWOOD DR NE 
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    City                 |    ARAB
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    State                |    AL
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    Zip                  |    35016-5333
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    Country              |    US
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    Telephone            |    256-541-2295
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST/OWNER
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    Name                 |     ANTHONY A WATKINS 
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    Credential           |    LMFT
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    Telephone            |    256-541-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    343
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    License Number State |    AL
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