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General NPI Number Information
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NPI Number | 1922585686
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Entity Type | Organization
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Legal Business Name | BLUNT COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 2232 CAHABA VALLEY DR STE C
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City | BIRMINGHAM
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State | AL
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Zip | 35242-9606
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Country | US
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Telephone | 205-632-2098
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BUCK CREEK CIR
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City | ALABASTER
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State | AL
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Zip | 35007-7026
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Country | US
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Telephone | 205-617-1912
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Fax |
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Authorized Official
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Title or Position | LPC/MANAGER
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Name | MS. FELICITY NEICOLE BLUNT
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Credential | MA, LPC
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Telephone | 205-632-2098
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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 | 3119
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License Number State | AL
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