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General NPI Number Information
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NPI Number | 1326594789
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Entity Type | Organization
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Legal Business Name | ALLEGIANT RESOURCES & COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 3717 GOVERNMENT ST SUITE 8
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3358
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Country | US
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Telephone | 318-704-6041
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Fax | 318-704-6645
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Provider Business Mailing Address
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Address Line | 3717 GOVERNMENT ST SUITE 8
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3358
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Country | US
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Telephone | 318-704-6041
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Fax | 318-704-6645
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KALA JENKINS
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Credential | LPC
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Telephone | 318-704-6041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5899
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5899
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License Number State | LA
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