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General NPI Number Information
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NPI Number | 1437697588
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Entity Type | Organization
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Legal Business Name | NOLA COUNSELING CENTER
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 701 PAPWORTH AVE
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City | METAIRIE
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State | LA
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Zip | 70005-3010
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Country | US
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Telephone | 504-610-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 523 PHOSPHOR AVE
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City | METAIRIE
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State | LA
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Zip | 70005-3233
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Country | US
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Telephone | 504-610-9079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY MARTIN
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Credential | LPC
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Telephone | 504-610-9079
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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 |
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License Number State |
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