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General NPI Number Information
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NPI Number | 1386006534
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Entity Type | Organization
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Legal Business Name | DENNIS COUNSELING
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Dates
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Enumeration Date | 03/27/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 2750 PELHAM RD S SUITE 4
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City | ANNISTON
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State | AL
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Zip | 36206-7506
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Country | US
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Telephone | 256-365-7004
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Fax | 256-467-8086
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Provider Business Mailing Address
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Address Line | 308 WILSON DR SW
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City | JACKSONVILLE
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State | AL
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Zip | 36265-2752
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Country | US
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Telephone | 256-365-7004
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Fax | 256-467-8086
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Authorized Official
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Title or Position | LICENSED PROFESSION COUNSELOR
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Name | MRS. TASHUA BERRY DENNIS
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Credential | LPC
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Telephone | 256-225-8769
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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 | 3488
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License Number State | AL
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