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General NPI Number Information
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NPI Number | 1467881375
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Entity Type | Individual
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Provider Name | VICTORIA GRIFFIN M.ED., LPC, MAC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 3400 CHAPEL HILL RD STE 304
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1739
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Country | US
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Telephone | 678-575-5322
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Fax | 678-819-4994
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Provider Business Mailing Address
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Address Line | PO BOX 725331
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City | ATLANTA
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State | GA
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Zip | 31139-2331
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Country | US
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Telephone | 678-439-7022
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Fax | 678-819-4994
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 006788
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License Number State | GA
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