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General NPI Number Information
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NPI Number | 1235920810
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Entity Type | Individual
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Provider Name | JANICE ALDER LPC-MHSP, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1225 S WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38506-4101
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Country | US
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Telephone | 931-284-4814
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Fax | 931-341-9087
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Provider Business Mailing Address
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Address Line | 3679 SOUTHMEADE DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-6473
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Country | US
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Telephone | 931-284-8747
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6510
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License Number State | TN
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