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General NPI Number Information
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NPI Number | 1669653556
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Entity Type | Individual
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Provider Name | JAMALYN HAMBRIGHT YATES LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 4305 S LEE ST STE 500
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City | BUFORD
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State | GA
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Zip | 30518-5785
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Country | US
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Telephone | 850-258-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 3644 BUTTERCUP CT
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City | BUFORD
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State | GA
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Zip | 30519-1983
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Country | US
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Telephone | 850-258-0732
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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 | MH9258
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License Number State | FL
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