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General NPI Number Information
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NPI Number | 1902348519
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Entity Type | Organization
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Legal Business Name | COUNSELING CONNECTION
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 9922 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32817-4272
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Country | US
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Telephone | 407-496-2747
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Fax | 866-674-1154
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Provider Business Mailing Address
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Address Line | 9922 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32817-4272
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Country | US
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Telephone | 407-496-2747
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Fax | 866-674-1154
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | TAMI LORNE
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Credential |
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Telephone | 407-496-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH13478
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License Number State | FL
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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 | MH13478
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License Number State | FL
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