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General NPI Number Information
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NPI Number | 1396099834
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Entity Type | Individual
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Provider Name | ABIGAIL M. WATTERSON LPC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 144 N JEFFERSON ST APT 1
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City | KITTANNING
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State | PA
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Zip | 16201-1578
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Country | US
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Telephone | 724-300-3037
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Fax | 724-571-4899
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Provider Business Mailing Address
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Address Line | 144 N JEFFERSON ST APT 1
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City | KITTANNING
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State | PA
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Zip | 16201-1578
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Country | US
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Telephone | 724-300-3037
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Fax | 724-571-4899
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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 | PC006463
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License Number State | PA
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