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General NPI Number Information
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NPI Number | 1255041232
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Entity Type | Organization
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Legal Business Name | EQUALIZE COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 7472 WATERSIDE LOOP RD STE 204
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City | DENVER
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State | NC
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Zip | 28037-7593
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Country | US
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Telephone | 704-745-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 7464 DEER TRACK DR
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City | DENVER
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State | NC
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Zip | 28037-8936
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Country | US
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Telephone | 704-745-8845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIYA EILEEN WHITLEY
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Credential | LMFT
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Telephone | 704-745-8845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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