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General NPI Number Information
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NPI Number | 1831691724
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Entity Type | Individual
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Provider Name | HAYLEY M. KING MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 107 COLONY PARK DR STE 700
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City | CUMMING
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State | GA
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Zip | 30040-2788
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Country | US
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Telephone | 470-485-4462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3345
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City | CUMMING
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State | GA
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Zip | 30028-6519
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Country | US
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Telephone | 470-485-4462
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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 |
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License Number State |
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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 | LPC012139
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License Number State | GA
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