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General NPI Number Information
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NPI Number | 1316114804
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Entity Type | Organization
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Legal Business Name | LIFE CHOICES COUNSELING, PLLC
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 9334 JASPAR CREST LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-5161
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Country | US
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Telephone | 704-877-3434
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Fax | 704-875-6290
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Provider Business Mailing Address
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Address Line | 9334 JASPAR CREST LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-5161
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Country | US
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Telephone | 704-877-3434
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Fax | 704-875-6290
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. VANESSA TRAPP-SPANN
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Credential |
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Telephone | 704-877-3434
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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 | 6836
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License Number State | NC
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