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General NPI Number Information
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NPI Number | 1427529155
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Entity Type | Organization
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Legal Business Name | WELLNESS WITHIN PROFESSIONAL COUNSELING
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 2400 N CROATAN HWY STE F
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City | KILL DEVIL HILLS
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State | NC
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Zip | 27948-9356
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Country | US
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Telephone | 252-339-4915
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SHORE DR
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City | SHILOH
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State | NC
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Zip | 27974-6241
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Country | US
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Telephone | 252-339-4915
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KATHERINE LYNN DUNAVANT
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Credential | LPC, NCC
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Telephone | 252-339-4915
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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 |
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License Number State |
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