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General NPI Number Information
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NPI Number | 1548551401
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Entity Type | Individual
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Provider Name | ADRIENNE NICHOLE WALKER M.ED. LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 3495 PIEDMONT RD NE STE 205
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City | ATLANTA
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State | GA
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Zip | 30305-1717
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Country | US
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Telephone | 678-374-9674
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Fax |
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Provider Business Mailing Address
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Address Line | 4035 VISTA POINT LN
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City | SUWANEE
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State | GA
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Zip | 30024-3822
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Country | US
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Telephone | 678-265-0065
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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 | 014339
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License Number State | GA
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