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General NPI Number Information
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NPI Number | 1194472753
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Entity Type | Organization
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Legal Business Name | SOLUTIONS COUNSELING & EMPLOYEE ASSISTANCE PROGRAM
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 400 7TH ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-6007
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Country | US
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Telephone | 337-310-2822
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Fax | 337-493-3300
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Provider Business Mailing Address
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Address Line | PO BOX 3126
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City | LAKE CHARLES
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State | LA
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Zip | 70602-3126
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Country | US
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Telephone | 337-310-2822
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Fax | 337-493-3300
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Authorized Official
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Title or Position | PRESIDENT
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Name | KERI FORBESS-MCCORQUODALE
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Credential | LPC-S, LMFT
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Telephone | 337-310-2822
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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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