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General NPI Number Information
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NPI Number | 1255580064
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Entity Type | Organization
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Legal Business Name | BCH COUNSELING & CONSULTATION SERVICES
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 4108 PARK RD SUITE 325
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City | CHARLOTTE
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State | NC
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Zip | 28209-2259
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Country | US
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Telephone | 704-676-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 4108 PARK RD SUITE 325
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City | CHARLOTTE
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State | NC
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Zip | 28209-2259
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Country | US
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Telephone | 704-676-4884
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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. TAMEKA DENISE JENKINS
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Credential | MS, LPC
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Telephone | 704-676-4884
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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 | 5007
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License Number State | NC
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