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General NPI Number Information
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NPI Number | 1891926309
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Entity Type | Individual
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Provider Name | SUNDRA M CESSNA LPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 9052 HWY 429
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City | SALLIS
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State | MS
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Zip | 39160
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Country | US
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Telephone | 540-840-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 9052 HWY429
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City | SALLIS
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State | MS
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Zip | 39160
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Country | US
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Telephone | 540-840-5951
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004636
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License Number State | VA
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