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General NPI Number Information
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NPI Number | 1659881894
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Entity Type | Individual
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Provider Name | MARY G. CALLEN LPC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 705 OAK CIRCLE DR E
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City | MOBILE
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State | AL
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Zip | 36609-4221
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Country | US
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Telephone | 251-602-0909
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Fax | 251-660-2831
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Provider Business Mailing Address
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Address Line | 705 OAK CIRCLE DR E
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City | MOBILE
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State | AL
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Zip | 36609-4221
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Country | US
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Telephone | 251-602-0909
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Fax | 251-660-2831
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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 | 3776
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License Number State | AL
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