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General NPI Number Information
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NPI Number | 1235502675
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Entity Type | Individual
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Provider Name | DEANNA DICK LPC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 5 E COURT ST STE 301
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-1761
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Country | US
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Telephone | 540-483-0071
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Fax | 540-483-0092
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Provider Business Mailing Address
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Address Line | PO BOX 2079
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-8379
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Country | US
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Telephone | 620-266-6133
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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 | 13883
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006039
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701006039
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License Number State | VA
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