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General NPI Number Information
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NPI Number | 1104186543
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Entity Type | Individual
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Provider Name | COLLEEN BARCUS LCSW, LCAS
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 119 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-1869
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Country | US
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Telephone | 866-489-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 UPPER BRUSH CREEK RD
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City | FAIRVIEW
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State | NC
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Zip | 28730-8703
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Country | US
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Telephone | 330-464-0468
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-23614
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.1000706
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C009073
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License Number State | NC
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