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General NPI Number Information
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NPI Number | 1417416421
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Entity Type | Organization
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Legal Business Name | ASCEND COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 1990 POPPS FERRY RD
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City | BILOXI
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State | MS
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Zip | 39532-2015
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Country | US
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Telephone | 228-351-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 REGENCY DR
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City | BILOXI
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State | MS
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Zip | 39532-3025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | JESSAMYN HOGUE
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Credential |
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Telephone | 228-365-2986
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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 |
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License Number State |
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