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General NPI Number Information
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NPI Number | 1366785487
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Entity Type | Individual
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Provider Name | CAROLE LYNNE WESTBROOK LPC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5205 STILESBORO RD NW STE 225
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City | KENNESAW
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State | GA
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Zip | 30152-7748
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Country | US
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Telephone | 800-910-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 PEARL JOHNSON RD SE
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City | RANGER
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State | GA
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Zip | 30734-9720
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Country | US
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Telephone | 770-891-7956
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC003151
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License Number State | GA
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