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General NPI Number Information
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NPI Number | 1083528715
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Entity Type | Organization
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Legal Business Name | CULTURAL CARE COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 3971 SOUTHEASTERN WAY
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2442
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Country | US
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Telephone | 803-445-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 3971 SOUTHEASTERN WAY
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2442
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Country | US
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Telephone | 803-445-7757
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | LIZETTE ARACELI HERNANDEZ
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Credential | LPCA
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Telephone | 803-447-4220
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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 | NULL
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