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General NPI Number Information
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NPI Number | 1003391889
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Entity Type | Organization
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Legal Business Name | DOWNTOWN RALEIGH COUNSELING, PLLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 5109 CARTER ST
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City | RALEIGH
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State | NC
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Zip | 27612-3467
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Country | US
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Telephone | 910-257-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 5 W HARGETT ST RM 313
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City | RALEIGH
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State | NC
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Zip | 27601-1348
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Country | US
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Telephone | 915-788-3149
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | NANCY MELINDA VAN HOOK
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Credential | LPC
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Telephone | 910-257-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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