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General NPI Number Information
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NPI Number | 1720867344
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Entity Type | Individual
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Provider Name | CHRISTINA WASHINGTON LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 8335 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6937
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Country | US
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Telephone | 678-324-0476
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 WHISPER TRL
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1403
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Country | US
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Telephone | 404-997-9069
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 137762801
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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