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General NPI Number Information
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NPI Number | 1053797514
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE COUNSELING, COACHING & CONSULTING, PLLC
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 253 FRANKLIN CT
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City | STANLEY
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State | NC
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Zip | 28164-9609
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Country | US
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Telephone | 704-915-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 253 FRANKLIN CT
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City | STANLEY
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State | NC
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Zip | 28164-9609
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Country | US
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Telephone | 704-915-2777
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. KAREN J WILLIAMS
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Credential | PSY. D, LPCS
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Telephone | 704-915-2777
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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 | 5057
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License Number State | NC
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