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General NPI Number Information
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NPI Number | 1780335497
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Entity Type | Organization
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Legal Business Name | STEP BY STEP COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 9018 COTTON FIELD CIR
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City | TUSCALOOSA
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State | AL
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Zip | 35405-9643
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Country | US
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Telephone | 205-393-1154
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Fax | 205-737-7242
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Provider Business Mailing Address
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Address Line | 9018 COTTON FIELD CIR
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City | TUSCALOOSA
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State | AL
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Zip | 35405-9643
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Country | US
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Telephone | 205-292-8276
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Fax | 205-737-7242
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | JACQUELYNE JOHNSON
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Credential | LICSW, PIP
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Telephone | 205-292-8276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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