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General NPI Number Information
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NPI Number | 1720638943
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Entity Type | Individual
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Provider Name | DEARON WASHINGTON LPC
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Gender | Male
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 604 HIGHWAY 80 W STE R
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City | CLINTON
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State | MS
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Zip | 39056-4108
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Country | US
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Telephone | 601-473-2106
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 EARHART BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70125-1955
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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 | 3210
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License Number State |
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