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General NPI Number Information
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NPI Number | 1851866610
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Entity Type | Individual
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Provider Name | MS. ALICIA MICHELLE COLLIER
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Gender | Female
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2420 STATE ST
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City | EAST SAINT LOUIS
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State | IL
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Zip | 62205-2321
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Country | US
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Telephone | 618-318-8809
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Fax | 618-615-4205
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Provider Business Mailing Address
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Address Line | PO BOX 746715
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City | ATLANTA
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State | GA
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Zip | 30374-6715
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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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 | 2016025824
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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 | 2016025824
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.012415
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License Number State | IL
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