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General NPI Number Information
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NPI Number | 1407895808
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Entity Type | Organization
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Legal Business Name | NESBITT COUNSELING & CLINICAL SERVICES, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 2021 HERON PT
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City | WHITSETT
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State | NC
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Zip | 27377-9341
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Country | US
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Telephone | 336-398-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 HERON PT
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City | WHITSETT
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State | NC
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Zip | 27377-9341
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Country | US
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Telephone | 336-398-4473
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/PRESIDENT
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Name | MS. ZAKIA A NESBITT
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Credential | MS, NCC, LPC
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Telephone | 336-398-4473
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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 | 5164
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License Number State | NC
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