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General NPI Number Information
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NPI Number | 1427176551
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Entity Type | Organization
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Legal Business Name | BLENDA C. SING, MS, LPC, MAC, CCFC, PC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3635 WINTERBERRY LN
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City | SNELLVILLE
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State | GA
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Zip | 30039-4041
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Country | US
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Telephone | 770-985-7178
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Fax | 770-985-7190
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Provider Business Mailing Address
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Address Line | 2386 CLOWER ST BUILDING, G, SUITE 202
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City | SNELLVILLE
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State | GA
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Zip | 30078-6134
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Country | US
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Telephone | 770-985-7178
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Fax | 770-985-7190
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BLENDA C SING
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Credential | LPC
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Telephone | 770-985-7178
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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 | 0001792
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License Number State | GA
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