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General NPI Number Information
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NPI Number | 1346066057
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Entity Type | Individual
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Provider Name | JERELL ARMSTRONG MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 5805 LEE HWY STE 107
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3546
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Country | US
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Telephone | 423-380-1259
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Fax | 800-701-6250
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Provider Business Mailing Address
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Address Line | 5805 LEE HWY STE 107
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3546
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Country | US
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Telephone | 423-380-1259
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Fax | 800-701-6250
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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 | 6658
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License Number State | TN
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