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General NPI Number Information
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NPI Number | 1265889513
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Entity Type | Individual
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Provider Name | TINA FELICE FERG LPC, NCC, CPCS, CFRC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A101
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City | CUMMING
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State | GA
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Zip | 30040-2481
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Country | US
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Telephone | 706-872-2985
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Fax | 470-239-4119
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Provider Business Mailing Address
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Address Line | 327 DAHLONEGA ST STE A101
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City | CUMMING
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State | GA
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Zip | 30040-2481
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Country | US
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Telephone | 470-239-4119
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Fax | 803-845-5008
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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 | LPC009886
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License Number State | GA
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