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General NPI Number Information
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NPI Number | 1417288176
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Entity Type | Individual
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Provider Name | SUZANNE MARY DOYLE LCMHC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 844-413-2811
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Fax | 206-339-1499
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Provider Business Mailing Address
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Address Line | 2283 BRECKNOCK DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6554
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Country | US
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Telephone | 336-346-8004
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 001077
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License Number State | CT
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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 | 003498
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61175888
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 02590
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14402
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 864
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License Number State | HI
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C6520
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61175888
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License Number State | WA
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