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General NPI Number Information
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NPI Number | 1891237830
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Entity Type | Individual
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Provider Name | SONJA SMITH POLLEY M.A., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 17210 HIGHWAY 5
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City | LOGANSPORT
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State | LA
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Zip | 71049-3298
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Country | US
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Telephone | 318-906-5060
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Fax | 844-270-4571
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Provider Business Mailing Address
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Address Line | PO BOX 715
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City | LOGANSPORT
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State | LA
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Zip | 71049-0715
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Country | US
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Telephone | 318-906-5060
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Fax | 844-270-4571
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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 | 6717
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License Number State | LA
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