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General NPI Number Information
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NPI Number | 1831652452
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 105 NORTHGATE RD STE F
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City | NATCHEZ
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State | MS
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Zip | 39120-9162
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Country | US
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Telephone | 601-451-8546
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BURKHART ST
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City | NATCHEZ
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State | MS
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Zip | 39120-2133
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Country | US
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Telephone | 601-451-8546
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | DR. KEVIN DEASON
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Credential | PSY.D
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Telephone | 601-451-8546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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