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General NPI Number Information
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NPI Number | 1801466859
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Entity Type | Individual
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Provider Name | MADISON BARBOR MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 115 KEATING DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1629
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Country | US
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Telephone | 504-821-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 115 KEATING DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1629
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Country | US
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Telephone | 504-393-5750
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8616
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License Number State | LA
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