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General NPI Number Information
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NPI Number | 1093483976
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Entity Type | Organization
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Legal Business Name | ADONAI CHRISTIAN COUNSELING SERVICES
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 8522 SIX FORKS RD STE 104
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City | RALEIGH
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State | NC
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Zip | 27615-3098
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Country | US
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Telephone | 919-801-3199
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Fax | 919-322-2017
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Provider Business Mailing Address
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Address Line | 8522 SIX FORKS RD STE 104
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City | RALEIGH
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State | NC
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Zip | 27615-3098
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Country | US
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Telephone | 919-801-3199
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Fax | 919-322-2017
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROL DENISE BUNCH
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Credential | PHD
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Telephone | 919-801-3199
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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 |
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License Number State |
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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 |
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License Number State |
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