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NPI 1528526183

NPI 1528526183 : ARCHIE SCHNUELLE LMFT, MAC : OPELIKA, AL

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General NPI Number Information
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    NPI Number           |    1528526183
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    Entity Type          |    Individual 
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    Provider Name        |    ARCHIE SCHNUELLE LMFT, MAC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/03/2019
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    Last Update Date     |    10/16/2023
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Provider Practice Location Address
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    Address Line         |    708 AVENUE D 
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    City                 |    OPELIKA
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    State                |    AL
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    Zip                  |    36801-4962
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    Country              |    US
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    Telephone            |    334-275-0608
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    Fax                  |    334-826-0952
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Provider Business Mailing Address
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    Address Line         |    2149 THISTLE LN 
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    City                 |    AUBURN
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    State                |    AL
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    Zip                  |    36832-9038
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    Country              |    US
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    Telephone            |    334-275-0608
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    508652
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    367
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    License Number State |    AL
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