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NPI 1104381516

NPI 1104381516 : JARED HINTON LPCA : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1104381516
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    Entity Type          |    Individual 
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    Provider Name        |    JARED HINTON LPCA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/11/2019
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    Last Update Date     |    02/25/2019
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Provider Practice Location Address
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    Address Line         |    49 WEST ST 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-1123
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    Country              |    US
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    Telephone            |    828-575-3066
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    49 WEST ST 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-1123
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    Country              |    US
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    Telephone            |    828-575-3066
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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       |    
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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       |    A13943
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    License Number State |    NC
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