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General NPI Number Information
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NPI Number | 1235787227
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Entity Type | Individual
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Provider Name | CECILIA SMITH ALLEN LCAS, LCMHCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 2515 WATSON AVE STE A
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City | SANFORD
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State | NC
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Zip | 27332-6174
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Country | US
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Telephone | 910-759-0374
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 BROOKCLIFF RD
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City | SANFORD
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State | NC
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Zip | 27330-7706
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Country | US
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Telephone |
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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 | 889
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License Number State | SC
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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 | A18765
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A18765
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A18765
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | A18765
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | A18765
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | A18765
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | A18765
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-27915
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License Number State | NC
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