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General NPI Number Information
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NPI Number | 1225518780
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Entity Type | Individual
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Provider Name | ZACKERY JOAN REED LPC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 690 SAN ANTONIO AVE
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City | MANY
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State | LA
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Zip | 71449-3015
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Country | US
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Telephone | 318-256-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CHINABERRY DR STE 900
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2455
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Country | US
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Telephone | 318-256-5200
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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 | 7762
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7762
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License Number State | LA
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