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General NPI Number Information
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NPI Number | 1093483539
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Entity Type | Individual
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Provider Name | WHITNEY TASHAE ALSTON-BROWN LCMHC-A LCAS-A
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 6026 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27609-3899
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Country | US
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Telephone | 919-865-8710
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Fax | 919-977-9760
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Provider Business Mailing Address
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Address Line | 6026 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27609-3899
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Country | US
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Telephone | 919-865-8710
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Fax | 919-977-9760
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-27004
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1550994
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A17204
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License Number State | NC
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