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General NPI Number Information
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NPI Number | 1437516556
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Entity Type | Organization
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Legal Business Name | COGNITIVE SOLUTIONS
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 235 WHITE OAK ST
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City | JACKSON
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State | MS
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Zip | 39213-9415
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Country | US
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Telephone | 601-383-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 235 WHITE OAK ST
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City | JACKSON
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State | MS
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Zip | 39213-9415
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Country | US
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Telephone | 601-383-2083
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | YOLANDA OWENS
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Credential | LCSW
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Telephone | 601-383-2083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C7335
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License Number State | MS
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