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General NPI Number Information
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NPI Number | 1447738844
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Entity Type | Individual
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Provider Name | CHERYL DEHAVEN MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 24 HOWELL AVE SUITE 11
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City | BISBEE
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State | AZ
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Zip | 85603-8562
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Country | US
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Telephone | 520-678-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 830 N HIGHWAY 191
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City | PEARCE
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State | AZ
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Zip | 85625-4064
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Country | US
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Telephone | 520-678-5851
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-17283
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License Number State | AZ
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