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General NPI Number Information
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NPI Number | 1376945907
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Entity Type | Organization
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Legal Business Name | YOU-TURN COUNSELING
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 200 E MAIN ST SUITE 201
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City | CLAYTON
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State | NC
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Zip | 27520-2472
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Country | US
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Telephone | 919-585-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E MAIN ST SUITE 201
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City | CLAYTON
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State | NC
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Zip | 27520-2472
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Country | US
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Telephone | 919-585-2282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KRISTEN BIRD
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Credential | MS LMFT
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Telephone | 919-585-2282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2574
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1281
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License Number State | NC
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