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NPI 1740070812

NPI 1740070812 : CHLOE ANN VINCIL LPC-MHSP, NCC : SWEETWATER, TN

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General NPI Number Information
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    NPI Number           |    1740070812
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE ANN VINCIL LPC-MHSP, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2025
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    Last Update Date     |    05/10/2025
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Provider Practice Location Address
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    Address Line         |    240 MEADOW LN 
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    City                 |    SWEETWATER
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    State                |    TN
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    Zip                  |    37874-6216
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    Country              |    US
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    Telephone            |    423-271-5330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    497 BRAKEBILL RD 
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    City                 |    VONORE
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    State                |    TN
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    Zip                  |    37885-2112
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    Country              |    US
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    Telephone            |    423-271-0614
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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       |    7839
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    License Number State |    TN
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