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General NPI Number Information
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NPI Number | 1568978468
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Entity Type | Individual
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Provider Name | CHAD BILLINGTON II LMHC
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Gender | Male
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 173 NW ALBRITTON LN
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City | LAKE CITY
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State | FL
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Zip | 32055-4451
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Country | US
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Telephone | 386-755-4020
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Fax | 386-752-9143
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Provider Business Mailing Address
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Address Line | 23476 NW 186TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-0673
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Country | US
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Telephone | 386-454-0698
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Fax | 386-454-0690
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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 | MH008574
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC011601
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH15527
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License Number State | FL
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