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General NPI Number Information
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NPI Number | 1558548479
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Entity Type | Organization
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Legal Business Name | DISCOVERY COUNSELING SERVICES
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 820 JORDAN ST SUITE 510-G
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City | SHREVEPORT
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State | LA
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Zip | 71101-4518
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Country | US
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Telephone | 318-424-1322
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Fax | 318-742-5981
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Provider Business Mailing Address
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Address Line | 820 JORDAN ST SUITE 510-G
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City | SHREVEPORT
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State | LA
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Zip | 71101-4518
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Country | US
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Telephone | 318-424-1322
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Fax | 318-742-5981
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. JACQUELINE ANN HIRST, LCSW,DCSW,ACSW
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Credential | MASTER OF SOCIAL WOR
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Telephone | 318-424-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3129
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License Number State | LA
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