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General NPI Number Information
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NPI Number | 1326791450
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Entity Type | Individual
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Provider Name | QUINTON AARON CLAWSON LMHC, QS
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Gender | Male
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1030 E WALNUT STREET
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 239-299-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 E WALNUT STREET
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-670-4333
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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 | MH19370
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH19370
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License Number State | FL
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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 | MH19370
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License Number State | FL
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