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General NPI Number Information
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NPI Number | 1447947510
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Entity Type | Individual
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Provider Name | MELISSA LYNN CARSON LPC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 30665 N WALKER RD
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City | WALKER
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State | LA
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Zip | 70785-5602
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Country | US
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Telephone | 225-788-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 11573 MARY LEE DR
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7049
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Country | US
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Telephone | 225-788-8411
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8239
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License Number State | LA
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