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General NPI Number Information
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NPI Number | 1528306990
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Entity Type | Individual
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Provider Name | LINDA A CLARKSON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2013
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3052 WESTWOOD WAY
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City | ALPHARETTA
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State | GA
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Zip | 30004-3876
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Country | US
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Telephone | 470-461-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 3052 WESTWOOD WAY
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City | ALPHARETTA
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State | GA
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Zip | 30004-3876
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Country | US
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Telephone | 470-461-7211
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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 | 37PC00465000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12953
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License Number State | NC
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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 | LPC010782
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License Number State | GA
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