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General NPI Number Information
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NPI Number | 1245723840
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Entity Type | Organization
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Legal Business Name | CONSUELO VITERI, LPC, LLC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 2232 CAHABA VALLEY DR STE C
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City | BIRMINGHAM
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State | AL
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Zip | 35242-9606
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Country | US
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Telephone | 205-541-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 CAHABA VALLEY DRIVE SUITE C
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 205-541-4047
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MARIA CONSUELO VITERI
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Credential | LPC
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Telephone | 205-541-4047
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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 | 1694
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License Number State | AL
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