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General NPI Number Information
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NPI Number | 1851974596
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Entity Type | Individual
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Provider Name | CARISSA DAWN ATKINSON LPC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 620 N SAINT CLAIR ST APT 7N
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City | PITTSBURGH
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State | PA
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Zip | 15206-2491
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Country | US
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Telephone | 412-526-3563
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N SAINT CLAIR ST APT 7N
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City | PITTSBURGH
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State | PA
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Zip | 15206-2491
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Country | US
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Telephone | 412-526-3563
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC017230
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC017230
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License Number State | PA
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