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General NPI Number Information
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NPI Number | 1346722329
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Entity Type | Organization
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Legal Business Name | BROWN AND BAKERS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 12 FAIRFIELD RD STE B3
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City | BEAUFORT
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State | SC
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Zip | 29907-2576
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Country | US
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Telephone | 843-473-5161
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 961
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City | BEAUFORT
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State | SC
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Zip | 29901-0961
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Country | US
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Telephone | 843-473-5161
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | MRS. CATREACE BROWN-BAKER
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Credential | LPC/S
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Telephone | 843-473-5161
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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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Taxonomy #2
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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 | SC
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