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General NPI Number Information
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NPI Number | 1689951154
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING AGENCY
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1605 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-448-0284
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Fax | 318-448-0280
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Provider Business Mailing Address
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Address Line | 1605 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-448-0284
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Fax | 318-448-0280
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOSEPH FRANKLIN
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Credential |
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Telephone | 318-448-0284
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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 | 4228
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License Number State | LA
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