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General NPI Number Information
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NPI Number | 1386065795
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Entity Type | Individual
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Provider Name | REBECCA GOINES LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 132 WOODS TRL APT 2
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City | RICHMOND
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State | KY
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Zip | 40475-2646
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Country | US
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Telephone | 859-358-5099
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Fax |
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Provider Business Mailing Address
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Address Line | 132 WOODS TRL APT 2
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City | RICHMOND
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State | KY
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Zip | 40475-2646
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Country | US
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Telephone | 859-893-7981
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | KY-1501
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 168435
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 127488
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License Number State | KY
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