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NPI 1144876509

NPI 1144876509 : A&J COUNSELING AND CONSULTING AGENCY, LLC. : ELGIN, SC

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General NPI Number Information
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    NPI Number           |    1144876509
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    Entity Type          |    Organization 
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    Legal Business Name  |    A&J COUNSELING AND CONSULTING AGENCY, LLC. 
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Dates
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    Enumeration Date     |    08/12/2019
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    Last Update Date     |    08/12/2019
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Provider Practice Location Address
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    Address Line         |    1502 SMYRNA RD 
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    City                 |    ELGIN
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    State                |    SC
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    Zip                  |    29045-8904
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    Country              |    US
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    Telephone            |    704-726-9340
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8636 HOLLOW CREEK CIR APT 202 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262-7562
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    Country              |    US
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    Telephone            |    704-726-9340
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     KASHINA  DARDEN 
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    Credential           |    
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    Telephone            |    704-726-9340
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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       |    
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    License Number State |    
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