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General NPI Number Information
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NPI Number | 1326607953
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIVING COUNSELING AND CONSULTATION, PLLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 1923 J N PEASE PL STE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-4534
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Country | US
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Telephone | 704-258-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 6632 RUSTIC VIEW CT
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City | CHARLOTTE
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State | NC
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Zip | 28216-1833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST
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Name | TANYA MARIA HUGHES
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Credential | MA, LPC
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Telephone | 704-258-6910
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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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