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General NPI Number Information
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NPI Number | 1134224546
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Entity Type | Organization
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Legal Business Name | COUNSELING CENTER OF GREENSBORO
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 2309 W CONE BLVD SUITE 200
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City | GREENSBORO
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State | NC
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Zip | 27408-4044
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Country | US
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Telephone | 336-543-8123
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Fax | 336-282-3455
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Provider Business Mailing Address
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Address Line | 2309 W CONE BLVD SUITE 200
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City | GREENSBORO
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State | NC
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Zip | 27408-4044
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Country | US
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Telephone | 336-543-8123
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Fax | 336-282-3445
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. SHEREL H LAWSON
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Credential | MS, LPC
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Telephone | 336-543-8123
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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 | 5207
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License Number State | NC
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