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General NPI Number Information
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NPI Number | 1386269413
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Entity Type | Organization
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Legal Business Name | GREENSBORO COUNSELING AND CONSULTATION, PLLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 608 N GREENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-2024
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Country | US
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Telephone | 203-804-7275
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Fax |
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Provider Business Mailing Address
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Address Line | 1852 BANKING ST PO BOX 9084
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 203-804-7275
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | LAURA KILIAN
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Credential | LCMHC
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Telephone | 203-804-7275
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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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