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General NPI Number Information
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NPI Number | 1770282485
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Entity Type | Individual
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Provider Name | JULIE RIVER LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3850 HOLCOMB BRIDGE RD STE 215
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-5219
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Country | US
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Telephone | 470-634-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 SUGAR CREEK DR SW
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City | MARIETTA
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State | GA
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Zip | 30064-4332
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Country | US
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Telephone | 770-377-9505
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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 | LPC015377
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License Number State | GA
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