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General NPI Number Information
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NPI Number | 1457087629
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE LIFE COUNSELING PLLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 7733 BALLANTYNE COMMONS PKWY # 201-F
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City | CHARLOTTE
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State | NC
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Zip | 28277-4396
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Country | US
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Telephone | 704-228-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 STRAWBERRY RD
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City | MATTHEWS
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State | NC
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Zip | 28104-6206
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Country | US
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Telephone | 704-345-7404
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER ROKOSZ COX
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Credential | LMFT
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Telephone | 704-345-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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