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General NPI Number Information
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NPI Number | 1194678227
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Entity Type | Individual
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Provider Name | DEMETRIUS LAMAR BRINSON JR. LCMHC
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Gender | Male
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2011 CHAPEL HILL RD
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City | DURHAM
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State | NC
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Zip | 27707-1109
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Country | US
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Telephone | 919-899-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BART ST
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City | RALEIGH
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State | NC
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Zip | 27610-2619
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Country | US
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Telephone | 919-720-1689
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A22634
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License Number State | NC
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