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General NPI Number Information
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NPI Number | 1669768651
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Entity Type | Individual
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Provider Name | THERESA PARSONS MA, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 51 COUNTY ROAD 124
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City | TISHOMINGO
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State | MS
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Zip | 38873-8719
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Country | US
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Telephone | 662-279-9211
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Fax | 662-855-3955
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Provider Business Mailing Address
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Address Line | 51 COUNTY ROAD 124
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City | TISHOMINGO
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State | MS
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Zip | 38873-8719
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Country | US
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Telephone | 662-279-9211
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Fax | 662-855-3955
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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 | 1625
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1625
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License Number State | MS
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