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General NPI Number Information
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NPI Number | 1770062218
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Entity Type | Individual
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Provider Name | MARY MCKALEIGH COLE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 1350 SCENIC HWY N STE 266
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City | SNELLVILLE
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State | GA
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Zip | 30078-7924
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Country | US
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Telephone | 678-481-5804
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Fax | 678-550-9322
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Provider Business Mailing Address
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Address Line | PO BOX 1223
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City | GRAYSON
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State | GA
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Zip | 30017-0024
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Country | US
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Telephone | 678-481-5804
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Fax | 678-550-9322
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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 | LPC011469
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License Number State | GA
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