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General NPI Number Information
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NPI Number | 1780175455
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Entity Type | Organization
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Legal Business Name | DUNLAP COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 910 PIERREMONT RD STE 255
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City | SHREVEPORT
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State | LA
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Zip | 71106-2063
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Country | US
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Telephone | 318-309-7436
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Fax | 866-273-2859
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Provider Business Mailing Address
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Address Line | 910 PIERREMONT RD STE 255
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City | SHREVEPORT
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State | LA
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Zip | 71106-2063
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Country | US
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Telephone | 318-309-7436
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Fax | 866-273-2859
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CYNTHIA A DUNLAP
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Credential | LPC
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Telephone | 318-309-7436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3708
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License Number State | LA
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