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General NPI Number Information
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NPI Number | 1851993216
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Entity Type | Organization
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Legal Business Name | JENNIFER CARSON DBA CARSON COUNSELING
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 3031 COWART RD
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City | DAWSONVILLE
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State | GA
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Zip | 30534-4907
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Country | US
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Telephone | 703-217-3627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 313
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City | MARBLE HILL
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State | GA
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Zip | 30148-0313
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Country | US
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Telephone | 703-217-3627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER CARSON
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Credential | LPC
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Telephone | 703-217-3627
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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 |
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License Number State |
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