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General NPI Number Information
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NPI Number | 1407157233
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Entity Type | Organization
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Legal Business Name | MCWILLIAMS CENTER FOR COUNSELING, INC.
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 2231 EXECUTIVE ST STE D
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City | CHARLOTTE
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State | NC
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Zip | 28208-3657
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Country | US
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Telephone | 704-868-7001
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Fax | 704-852-4401
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Provider Business Mailing Address
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Address Line | 2231 EXECUTIVE ST STE D
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City | CHARLOTTE
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State | NC
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Zip | 28208-3657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. KAREN JANEEN WILLIAMS
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Credential |
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Telephone | 704-868-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 231706
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License Number State | NC
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