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General NPI Number Information
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NPI Number | 1306300207
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Entity Type | Individual
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Provider Name | CHRISTOPHER TODD CORREA LCMHC
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Gender | Male
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 70 WOODFIN PL STE 232
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City | ASHEVILLE
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State | NC
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Zip | 28801-2467
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Country | US
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Telephone | 828-333-7595
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Fax | 828-348-1024
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Provider Business Mailing Address
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Address Line | 125 HIGH TOP COLONY RD
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-8770
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Country | US
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Telephone | 828-333-7595
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Fax | 828-348-1024
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14550
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License Number State | NC
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