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General NPI Number Information
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NPI Number | 1194420703
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Entity Type | Organization
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Legal Business Name | ZOETIC ACCORD COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 2327 PANSY ST SW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3804
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Country | US
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Telephone | 256-474-8981
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Fax |
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Provider Business Mailing Address
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Address Line | 2327 PANSY ST SW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3804
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Country | US
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Telephone | 256-474-8981
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JILLIAN G THOMSON
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Credential | MA, LPC, ADC
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Telephone | 478-714-3448
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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 |
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License Number State |
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