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General NPI Number Information
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NPI Number | 1710214937
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL COUNSELING SPECIALTIES INC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 700 1ST AVE
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City | SULPHUR
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State | LA
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Zip | 70663-3423
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Country | US
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Telephone | 337-528-6969
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Fax | 337-528-6970
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Provider Business Mailing Address
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Address Line | PO BOX 2859
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City | SULPHUR
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State | LA
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Zip | 70664-2859
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Country | US
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Telephone | 337-528-6969
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Fax | 337-528-6970
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA ARMER
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Credential | LCSW
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Telephone | 337-528-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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