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General NPI Number Information
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NPI Number | 1336744390
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Entity Type | Organization
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Legal Business Name | BLUE MONKEY COUNSELING, PLLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 6521 CREEDMOOR RD STE 206
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City | RALEIGH
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State | NC
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Zip | 27613-3668
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Country | US
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Telephone | 919-817-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 12201 LOCKHART LN
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City | RALEIGH
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State | NC
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Zip | 27614-9406
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Country | US
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Telephone | 919-422-8704
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | MS. MELISSA LANCASTER MCCURRY
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Credential | MA, LCMHCA, LCASA
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Telephone | 919-422-8704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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