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General NPI Number Information
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NPI Number | 1649232745
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Entity Type | Individual
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Provider Name | NORA JEAN CAMPBELL-HUME ATR LCSW LPC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 9805 STATE ROAD C
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City | MOKANE
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State | MO
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Zip | 65059
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Country | US
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Telephone | 573-220-5595
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Fax | 573-676-5001
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Provider Business Mailing Address
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Address Line | 9805 STATE ROAD C
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City | MOKANE
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State | MO
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Zip | 65059
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Country | US
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Telephone | 573-220-5595
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Fax | 573-676-5001
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MO2004024
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MO2004024
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 90120
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MO003298
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License Number State | MO
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