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General NPI Number Information
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NPI Number | 1073842480
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Entity Type | Individual
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Provider Name | TYSHA PRESSLEY MSED, CRC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 7902 CADMIUM CT
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City | CHARLOTTE
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State | NC
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Zip | 28215-9408
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Country | US
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Telephone | 704-916-9318
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Fax | 980-422-0196
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Provider Business Mailing Address
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Address Line | 7902 CADMIUM CT
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City | CHARLOTTE
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State | NC
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Zip | 28215-9408
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Country | US
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Telephone | 917-916-9115
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00090615
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7621
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License Number State | NC
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