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General NPI Number Information
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NPI Number | 1427003367
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Entity Type | Individual
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Provider Name | JUDITH ODESSA MCCLUNG MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 32 CLAYTON ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2424
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Country | US
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Telephone | 828-712-3469
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Fax |
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Provider Business Mailing Address
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Address Line | 103 WATERS EDGE DR
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City | WEAVERVILLE
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State | NC
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Zip | 28787-8474
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Country | US
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Telephone | 828-712-3469
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Fax | 828-645-8463
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 679
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License Number State | NC
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