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General NPI Number Information
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NPI Number | 1770733214
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE COUNSELING SOLUTIONS, INC.
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Dates
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Enumeration Date | 09/20/2008
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Last Update Date | 09/20/2008
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Provider Practice Location Address
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Address Line | 3330 CUMBERLAND BLVD STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 770-933-6289
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Fax | 404-393-9474
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Provider Business Mailing Address
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Address Line | 3330 CUMBERLAND BLVD STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 770-933-6289
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Fax | 404-393-9474
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Authorized Official
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Title or Position | CEO
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Name | MR. RUSSELL KAWAKAMI
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Credential |
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Telephone | 770-933-6289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | GA
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