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General NPI Number Information
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NPI Number | 1437419348
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Entity Type | Organization
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Legal Business Name | STEPPING STONES COMMUNITY RESOURCES, INCORPORATED
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 1760 PARKWOOD BLVD W
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City | WILSON
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State | NC
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Zip | 27893-3679
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Country | US
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Telephone | 919-269-9300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2071
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City | WENDELL
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State | NC
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Zip | 27591-2071
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Country | US
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Telephone | 919-269-9300
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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 | JESSICA NEWTON
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Credential |
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Telephone | 919-904-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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