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General NPI Number Information
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NPI Number | 1558680926
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Entity Type | Individual
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Provider Name | MARCIA J NETHERLAND MA, NCC, LPC, TF-CBT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 14734 AMBERJACK TER
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5800
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Country | US
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Telephone | 717-658-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 14734 AMBERJACK TER
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5800
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Country | US
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Telephone | 717-658-0581
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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 | PC006365
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2019024180
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License Number State | MO
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