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General NPI Number Information
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NPI Number | 1316896244
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Entity Type | Individual
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Provider Name | ALYSSA CHAMPION MS, LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 117 WHEELER ST
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City | REHOBOTH
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State | MA
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Zip | 02769-1101
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Country | US
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Telephone | 774-231-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 333 MISSION RIVER OAKS RD
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City | WOODSBORO
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State | TX
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Zip | 78393-3623
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 101751
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License Number State | TX
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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 | 10005536
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License Number State | MA
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