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General NPI Number Information
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NPI Number | 1528605433
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Entity Type | Individual
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Provider Name | CHRISTINA SONA SIMMONS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 1995 N PARK PL SE STE 422
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City | ATLANTA
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State | GA
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Zip | 30339-2072
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Country | US
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Telephone | 770-372-3103
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Fax | 919-416-0804
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Provider Business Mailing Address
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Address Line | 934 BRIARCLIFF RD NE
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City | ATLANTA
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State | GA
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Zip | 30306-2655
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Country | US
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Telephone | 404-888-7313
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Fax | 404-888-7546
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC010960
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License Number State | GA
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