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General NPI Number Information
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NPI Number | 1952178519
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Entity Type | Individual
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Provider Name | TESSA JOANNE CRAWFORD MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 223 E MAIN ST STE 304
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City | ROCK HILL
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State | SC
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Zip | 29730-4571
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Country | US
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Telephone | 803-328-1625
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Fax | 803-328-1635
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Provider Business Mailing Address
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Address Line | 223 E MAIN ST STE 304
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City | ROCK HILL
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State | SC
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Zip | 29730-4571
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Country | US
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Telephone | 803-328-1625
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Fax | 803-328-1635
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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 | 9327
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License Number State | SC
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