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General NPI Number Information
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NPI Number | 1033798806
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Entity Type | Organization
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Legal Business Name | VIDERI COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 7406 CHAPEL HILL RD
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City | RALEIGH
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State | NC
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Zip | 27607-5077
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Country | US
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Telephone | 984-464-1472
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Fax | 919-981-9827
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Provider Business Mailing Address
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Address Line | 7406 CHAPEL HILL RD STE K1
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City | RALEIGH
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State | NC
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Zip | 27607-5077
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Country | US
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Telephone | 984-464-1472
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Fax | 919-981-9827
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | RACHEL S BURNS
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Credential | LCMHC
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Telephone | 984-464-1472
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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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