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General NPI Number Information
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NPI Number | 1578379293
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Entity Type | Individual
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Provider Name | LUISHA MCARDLE LPCC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 20 OAK PARK BLVD
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6831
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Country | US
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Telephone | 502-760-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 LEGISLATIVE LN
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5546
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Country | US
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Telephone | 502-760-9129
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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 | 296288
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License Number State | KY
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