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General NPI Number Information
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NPI Number | 1174642607
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Entity Type | Organization
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Legal Business Name | FOCUS COUNSELING AND TRAINING, INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 9876 MAIN STREET SUITE 100
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City | WOODSTOCK
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State | GA
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Zip | 30188
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Country | US
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Telephone | 770-516-1050
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Fax | 770-516-1300
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Provider Business Mailing Address
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Address Line | 9876 MAIN SUITE 100
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City | WOODSTOCK
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State | GA
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Zip | 30188-3970
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Country | US
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Telephone | 770-516-1050
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Fax | 770-516-1300
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH BROCK
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Credential | LCSW
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Telephone | 770-516-1050
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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 | CSW002590
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License Number State | GA
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