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General NPI Number Information
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NPI Number | 1790577146
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Entity Type | Individual
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Provider Name | LISA NICOLE KINTNER ALC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 300 VESTAVIA PKWY STE 3900
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City | VESTAVIA
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State | AL
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Zip | 35216-3777
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Country | US
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Telephone | 205-533-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 8TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35212-4115
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Country | US
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Telephone | 404-717-4477
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC04595
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License Number State | AL
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