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NPI 1316875362

NPI 1316875362 : FAITH-CENTERED CHRISTIAN COUNSELING : CLEVELAND, TN

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General NPI Number Information
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    NPI Number           |    1316875362
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAITH-CENTERED CHRISTIAN COUNSELING 
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Dates
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    Enumeration Date     |    05/11/2026
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    Last Update Date     |    05/11/2026
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Provider Practice Location Address
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    Address Line         |    2200 CHAMBLISS AVE NW 
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    City                 |    CLEVELAND
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    State                |    TN
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    Zip                  |    37311-3874
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    Country              |    US
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    Telephone            |    615-521-3441
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2200 CHAMBLISS AVE NW 
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    City                 |    CLEVELAND
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    State                |    TN
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    Zip                  |    37311-3874
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    Country              |    US
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    Telephone            |    615-521-3441
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    DR. JENNIFER D WALKER 
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    Credential           |    PA-C
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    Telephone            |    615-521-3441
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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       |    
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    License Number State |    
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