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General NPI Number Information
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NPI Number | 1841317450
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Entity Type | Organization
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Legal Business Name | CENTER FOR COUNSELING & HUMAN DEVELOPMENT INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 191 KATHERINE AVE
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City | OZARK
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State | AL
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Zip | 36360
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Country | US
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Telephone | 334-774-7704
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Fax | 334-774-7704
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Provider Business Mailing Address
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Address Line | 191 KATHERINE AVE
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City | OZARK
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State | AL
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Zip | 36360
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Country | US
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Telephone | 334-774-7704
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Fax | 334-774-7704
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. THERON MICHAEL COVIN
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Credential | EBD
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Telephone | 336-774-7704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 |
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License Number State |
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