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General NPI Number Information
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NPI Number | 1740796101
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Entity Type | Individual
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Provider Name | KATHRYN VIRGINIA WRIGHT MA
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Gender | Female
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 3025B SHARPSBURG MCCULLUM RD SUITE C
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City | NEWNAN
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State | GA
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Zip | 30265
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Country | US
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Telephone | 847-528-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 8 WOODLAND WAY
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City | NEWNAN
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State | GA
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Zip | 30263-8212
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Country | US
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Telephone | 847-528-0686
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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 | LPC012162
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License Number State | GA
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