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General NPI Number Information
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NPI Number | 1285766725
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Entity Type | Organization
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Legal Business Name | JUDY S. TERRELL, LMFT, PA
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1205 ARENDELL ST STE C
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4162
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Country | US
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Telephone | 252-727-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 E FAIRWAY RD
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4932
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Country | US
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Telephone | 252-240-3096
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Fax | 252-240-0458
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JUDY S. TERRELL
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Credential | L.M.F.T.
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Telephone | 252-422-2403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1007
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License Number State | NC
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