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General NPI Number Information
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NPI Number | 1366363129
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Entity Type | Organization
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Legal Business Name | KORTMAN COUNSELING LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 200 OFFICE PARK DR STE 215
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2455
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Country | US
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Telephone | 205-201-0338
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Fax |
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Provider Business Mailing Address
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Address Line | 212 W TROY ST STE B
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City | DOTHAN
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State | AL
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Zip | 36303-4455
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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 | CLINICAL SOCIAL WORKER
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Name | MRS. EDITH KORTMAN
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Credential | LICSW
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Telephone | 205-201-0338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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