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NPI 1417296765

NPI 1417296765 : MELANIE ROSE NORMAN LCMHC, LCAS : WAYNESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1417296765
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    Entity Type          |    Individual 
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    Provider Name        |    MELANIE ROSE NORMAN LCMHC, LCAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2013
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    Last Update Date     |    09/24/2020
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Provider Practice Location Address
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    Address Line         |    28 WALNUT ST STE 4 
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    City                 |    WAYNESVILLE
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    State                |    NC
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    Zip                  |    28786-3246
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    Country              |    US
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    Telephone            |    828-507-1739
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    Fax                  |    828-333-4288
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Provider Business Mailing Address
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    Address Line         |    86 MELODY LN 
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    City                 |    MAGGIE VALLEY
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    State                |    NC
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    Zip                  |    28751-9613
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    Country              |    US
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    Telephone            |    828-507-1739
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    2509
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    7807
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    7807
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    License Number State |    NC
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