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General NPI Number Information
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NPI Number | 1013184738
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Entity Type | Organization
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Legal Business Name | CARRIGAN & ASSOCIATES COUNSELING, INC.
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 403 E MAIN ST
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City | WILKESBORO
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State | NC
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Zip | 28697-2505
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Country | US
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Telephone | 336-903-8500
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Fax | 336-903-8505
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Provider Business Mailing Address
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Address Line | PO BOX 201
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City | WILKESBORO
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State | NC
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Zip | 28697-0201
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Country | US
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Telephone | 336-903-8500
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Fax | 336-903-8505
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. JOHN EDMUND CARRIGAN JR.
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Credential | QP
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Telephone | 336-903-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MHL097052
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License Number State | NC
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