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General NPI Number Information
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NPI Number | 1184313835
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Entity Type | Individual
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Provider Name | STEPHEN FAREED HARRISON LGPC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 7524 MAIN ST #101
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City | SYKESVILLE
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State | MD
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Zip | 21784
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Country | US
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Telephone | 443-328-4946
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Fax |
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Provider Business Mailing Address
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Address Line | 10603 MILLET SEED HILL
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City | COLUMBIA
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State | MD
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Zip | 21044
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Country | US
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Telephone | 410-963-3835
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP13853
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License Number State | MD
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