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General NPI Number Information
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NPI Number | 1992942536
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING AGENCY
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 1605 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-448-0284
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Fax | 318-448-0280
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Provider Business Mailing Address
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Address Line | 1605 MURRAY ST STE 101 P O BOX 1908
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6875
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Country | US
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Telephone | 318-448-0284
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Fax | 318-448-0280
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MS. ROSSALIN E WILLIAMS
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Credential | LMSW
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Telephone | 318-448-0284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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