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General NPI Number Information
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NPI Number | 1891346060
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Entity Type | Organization
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Legal Business Name | ZION COMMUNITY RECOVERY, INC.
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 217 ARROWHEAD BLVD STE A2
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City | JONESBORO
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State | GA
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Zip | 30236-1169
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Country | US
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Telephone | 770-912-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 9278 DEER CROSSING DR
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City | JONESBORO
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State | GA
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Zip | 30236-5193
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Country | US
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Telephone | 770-912-8901
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Fax | 678-489-7147
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. VANESSA STAPLETON
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Credential | LPC, NCC, MAC
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Telephone | 770-912-8901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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