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General NPI Number Information
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NPI Number | 1235945577
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Entity Type | Organization
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Legal Business Name | JIMMY A SNOW, JR., LPCS, LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1500 N 19TH ST STE 400-13
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City | MONROE
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State | LA
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Zip | 71201-4942
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Country | US
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Telephone | 318-977-9307
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Fax |
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Provider Business Mailing Address
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Address Line | 605 KENDALL RIDGE DR
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City | WEST MONROE
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State | LA
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Zip | 71292-2171
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Country | US
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Telephone | 318-237-7177
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIMMY A SNOW JR.
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Credential |
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Telephone | 318-237-7177
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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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