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General NPI Number Information
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NPI Number | 1790106979
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Entity Type | Organization
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Legal Business Name | CLINICAL & FORENSIC CONSULTATION, LLC
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Dates
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Enumeration Date | 12/14/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3441 MILFORD DR
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-1523
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Country | US
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Telephone | 615-766-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 3441 MILFORD DR
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-1523
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Country | US
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Telephone | 615-766-0218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARLAND CLAYTON HARRIS
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Credential | LPC/MHSP, AS
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Telephone | 615-766-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1141
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3137
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License Number State | TN
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