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General NPI Number Information
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NPI Number | 1629598842
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Entity Type | Individual
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Provider Name | LORI VIEN LPCMH, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 5618 KIRKWOOD HWY
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City | WILMINGTON
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State | DE
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Zip | 19808-5004
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Country | US
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Telephone | 302-450-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 KIRKWOOD HWY
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City | WILMINGTON
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State | DE
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Zip | 19808-5004
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Country | US
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Telephone | 302-449-7211
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | AC-0000062
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License Number State | DE
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