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General NPI Number Information
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NPI Number | 1386053148
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Entity Type | Organization
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Legal Business Name | VALLEY INSIGHT COUNSELING
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 145 W TUSCALOOSA ST
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City | FLORENCE
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State | AL
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Zip | 35630-5474
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Country | US
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Telephone | 256-284-7301
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Fax | 256-284-7303
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Provider Business Mailing Address
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Address Line | 145 W TUSCALOOSA ST
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City | FLORENCE
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State | AL
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Zip | 35630-5474
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Country | US
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Telephone | 256-284-7301
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Fax | 256-284-7303
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. JEREMY PATTON
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Credential |
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Telephone | 256-284-7301
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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 | C2260A
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C2296A
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License Number State | AL
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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 | AL1981
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License Number State | AL
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