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General NPI Number Information
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NPI Number | 1063149813
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Entity Type | Organization
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Legal Business Name | EVIDENCE-BASED PSYCHOTHERAPY OF WESTERN NORTH CAROLINA, PLLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 137 ARTHUR RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-1630
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Country | US
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Telephone | 828-248-0738
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Fax |
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Provider Business Mailing Address
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Address Line | 65 MERRIMON AVE # 1097
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City | ASHEVILLE
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State | NC
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Zip | 28801-2322
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Country | US
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Telephone | 828-248-0738
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Fax |
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Authorized Official
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Title or Position | OWNER AND ORGANIZER
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Name | DR. JENNIFER WILLETT HOWELL
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Credential | PH.D.
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Telephone | 828-248-0738
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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 |
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License Number State | NULL
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