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General NPI Number Information
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NPI Number | 1255514535
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Entity Type | Individual
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Provider Name | LORI CHANDLER TOMBERLIN LPCC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 3203 3RD AVE W
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City | HIBBING
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State | MN
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Zip | 55746-2406
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Country | US
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Telephone | 218-263-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 FAISON AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5032
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Country | US
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Telephone | 207-478-5335
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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 | 9910
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 01583
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC3571
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License Number State | ME
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