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General NPI Number Information
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NPI Number | 1518615087
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Entity Type | Individual
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Provider Name | KATHLEEN NOEL SEWELL LPC
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 2055 SUGARLOAF CIR STE 575
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City | DULUTH
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State | GA
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Zip | 30097-9804
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Country | US
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Telephone | 404-999-7971
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Fax |
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Provider Business Mailing Address
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Address Line | 961 NORTHSIDE DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-4564
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Country | US
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Telephone | 404-274-7014
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC008174
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC008174
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC014993
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License Number State | GA
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