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General NPI Number Information
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NPI Number | 1174823249
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Entity Type | Organization
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Legal Business Name | ANDREW LAWSON COUNSELING LLC
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Dates
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Enumeration Date | 10/23/2010
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Last Update Date | 10/23/2010
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Provider Practice Location Address
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Address Line | 15396 N 83RD AVE SUITE E
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City | PEORIA
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State | AZ
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Zip | 85381-5622
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Country | US
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Telephone | 623-547-7656
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Fax | 623-547-7611
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Provider Business Mailing Address
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Address Line | 15396 N 83RD AVE SUITE E
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City | PEORIA
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State | AZ
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Zip | 85381-5622
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Country | US
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Telephone | 623-547-7656
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Fax | 623-547-7611
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW LAWSON
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Credential | M.C., LMFT, LISAC
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Telephone | 623-547-7656
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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 | LMFT
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License Number State | AZ
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