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General NPI Number Information
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NPI Number | 1679929053
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Entity Type | Organization
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Legal Business Name | VISION COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 1226 ROYAL DR SW STE D
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City | CONYERS
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State | GA
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Zip | 30094-5926
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Country | US
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Telephone | 678-658-0645
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Fax | 866-285-3044
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Provider Business Mailing Address
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Address Line | 1226 ROYAL DR SW STE D
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City | CONYERS
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State | GA
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Zip | 30094-5926
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Country | US
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Telephone | 678-658-0645
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Fax | 866-285-3044
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Authorized Official
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Title or Position | OWNER
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Name | DANA ANN GRIFFIN
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Credential | EDD, LPC, CPCS
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Telephone | 678-658-0645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 005372
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License Number State | GA
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