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General NPI Number Information
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NPI Number | 1457605743
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Entity Type | Individual
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Provider Name | CESSEL JEWON BOYD MA, LCMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 136 S MAIN ST STE F
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City | WARRENTON
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State | NC
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Zip | 27589-1967
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Country | US
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Telephone | 888-320-7119
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Fax | 888-320-9178
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Provider Business Mailing Address
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Address Line | 831 MACON EMBRO RD
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City | MACON
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State | NC
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Zip | 27551-9276
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Country | US
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Telephone | 919-698-9972
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Fax | 888-320-9178
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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 | 9324
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License Number State | NC
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