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General NPI Number Information
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NPI Number | 1356221394
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Entity Type | Individual
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Provider Name | SYLVIA ELEESE SEQUINA-HITCHCOCK LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3970 HENRY KAYLOR LN
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City | GRANITE FALLS
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State | NC
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Zip | 28630-7551
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Country | US
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Telephone | 828-234-4540
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Fax |
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Provider Business Mailing Address
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Address Line | 109 MULBERRY HILLS DRIVE
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City | MORGANTON
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State | NC
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Zip | 28655
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Country | US
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Telephone | 704-231-8755
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A21866
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License Number State | NC
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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 | A21866
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License Number State | NC
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