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General NPI Number Information
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NPI Number | 1437555042
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Entity Type | Organization
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Legal Business Name | LYN HASSENBOEHLER, LCSW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 12320 HIGHWAY 44 BLDG 3D
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City | GONZALES
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State | LA
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Zip | 70737-2202
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Country | US
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Telephone | 225-456-0093
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Fax | 888-494-0963
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Provider Business Mailing Address
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Address Line | 12320 HIGHWAY 44 BLDG 3D
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City | GONZALES
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State | LA
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Zip | 70737-2202
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Country | US
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Telephone | 225-456-0093
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Fax | 888-494-0963
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. LYN HASSENBOEHLER
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Credential | LCSW
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Telephone | 225-456-0093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3340
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3340
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License Number State | LA
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