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General NPI Number Information
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NPI Number | 1760095814
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Entity Type | Organization
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Legal Business Name | POTTERS TOUCH COUNSELING INC.
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4150 SNAPFINGER WOODS DR STE 100
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City | DECATUR
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State | GA
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Zip | 30035-3417
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Country | US
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Telephone | 404-430-9989
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Fax | 404-286-7858
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Provider Business Mailing Address
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Address Line | 4150 SNAPFINGER WOODS DR STE 100
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City | DECATUR
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State | GA
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Zip | 30035-3417
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Country | US
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Telephone | 404-430-9989
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Fax | 404-286-7858
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Authorized Official
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Title or Position | OWNER
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Name | CHARLENE JENKINS
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Credential | LPC
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Telephone | 404-430-9989
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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 |
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License Number State |
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