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General NPI Number Information
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NPI Number | 1225564453
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Entity Type | Organization
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Legal Business Name | GILCHRIST CONSULTATION AND COUNSELING
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Dates
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Enumeration Date | 05/09/2017
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 1010 W MAIN ST
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City | LAURENS
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State | SC
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Zip | 29360-2608
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Country | US
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Telephone | 864-337-9036
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 WEST MAIN STREET
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City | LAURENS
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State | SC
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Zip | 29360
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Country | US
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Telephone | 864-337-9036
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | KIMBERLY LITTLE
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Credential | LPCS
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Telephone | 864-337-9036
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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 | 5239
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License Number State | SC
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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 | 6549
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License Number State | SC
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