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General NPI Number Information
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NPI Number | 1700258902
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Entity Type | Individual
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Provider Name | CHRISTA MARTIN M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 3201 N 7TH ST
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City | WEST MONROE
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State | LA
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Zip | 71291-2229
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Country | US
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Telephone | 318-396-8152
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 N 7TH ST
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City | WEST MONROE
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State | LA
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Zip | 71291-2229
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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