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General NPI Number Information
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NPI Number | 1770820235
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Entity Type | Organization
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Legal Business Name | CHILD & FAMILY THERAPY SOLUTIONS, INC.
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 226 ALCOVY ST SUITE A-3
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City | MONROE
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State | GA
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Zip | 30655-2183
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Country | US
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Telephone | 770-266-1919
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Fax | 770-266-1919
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Provider Business Mailing Address
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Address Line | 226 ALCOVY ST SUITE A-3
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City | MONROE
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State | GA
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Zip | 30655-2183
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Country | US
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Telephone | 770-266-1919
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Fax | 770-266-1919
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANET T BRUGGEMANN
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Credential | MA, LMHC, LPC
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Telephone | 678-848-0131
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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 | LPC006472
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License Number State | GA
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