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General NPI Number Information
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NPI Number | 1336423946
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Entity Type | Individual
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Provider Name | CYNTHIA MONTCALM LPC-S, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 114 MORGAN ST
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City | RAYVILLE
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State | LA
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Zip | 71269-2576
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Country | US
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Telephone | 318-348-1296
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 PLANTATION DR
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City | MONROE
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State | LA
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Zip | 71201-2434
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Country | US
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Telephone | 318-348-1296
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Fax | 318-361-2552
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2294
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 577
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2294
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License Number State | LA
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