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General NPI Number Information
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NPI Number | 1386933224
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Entity Type | Organization
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Legal Business Name | SONYA CHARLTON COUNSELING LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 9807 N TWIN LKS
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City | NORTH PLATTE
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State | NE
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Zip | 69101-9509
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Country | US
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Telephone | 308-520-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 9807 N TWIN LKS
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City | NORTH PLATTE
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State | NE
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Zip | 69101-9509
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Country | US
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Telephone | 308-520-6110
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MS. SONYA ANN CHARLTON
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Credential | LIMHP, LADC
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Telephone | 308-520-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 771
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License Number State | NE
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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 | 702
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License Number State | NE
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