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General NPI Number Information
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NPI Number | 1316297922
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Entity Type | Individual
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Provider Name | ANNA E MCCLAUGHERTY M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1823 N CENTER ST STE 203
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-4184
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Country | US
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Telephone | 928-607-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 N CENTER ST STE 203
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-4184
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Country | US
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Telephone | 928-607-2549
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 18604
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License Number State | AZ
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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 | 9560
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-18604
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License Number State | AZ
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