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General NPI Number Information
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NPI Number | 1548779481
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Entity Type | Individual
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Provider Name | COURTNEY D SHERMAN LMHCA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 09/22/2017
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Provider Practice Location Address
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Address Line | 7526 E 82ND ST STE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1492
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Country | US
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Telephone | 317-585-1060
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Fax | 317-585-9811
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Provider Business Mailing Address
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Address Line | 7526 E 82ND ST SUITE 150 FAMILY COUNSELING ASSOCIATES INC
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1492
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Country | US
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Telephone | 317-585-1060
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Fax | 317-585-9811
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 88000458A
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License Number State | IN
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