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General NPI Number Information
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NPI Number | 1467789586
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING CENTER
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 508 E MAIN ST STE 201
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4458
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Country | US
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Telephone | 252-338-5334
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Fax | 252-338-1779
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Provider Business Mailing Address
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Address Line | 508 E MAIN ST STE 201
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4458
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Country | US
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Telephone | 252-338-5334
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Fax | 252-338-1779
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. PATRICIA A. READING
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Credential | MSED, LPC, LCAS
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Telephone | 252-338-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 997
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2710
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License Number State | NC
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