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General NPI Number Information
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NPI Number | 1396051405
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Entity Type | Individual
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Provider Name | THERESE ANN LEBARRON LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 119 E POTOMAC ST
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-1169
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Country | US
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Telephone | 443-386-6544
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Fax | 888-386-4048
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Provider Business Mailing Address
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Address Line | 119 E POTOMAC ST
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-1169
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Country | US
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Telephone | 443-386-6544
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Fax | 888-386-4048
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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 | LC3625
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License Number State | MD
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