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General NPI Number Information
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NPI Number | 1518754878
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Entity Type | Individual
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Provider Name | EMMA EHLEN LCMHCA
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Gender |
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 3000 HIGHWOODS BLVD STE 310
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City | RALEIGH
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State | NC
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Zip | 27604-1029
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Country | US
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Telephone | 919-714-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1798
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City | WENDELL
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State | NC
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Zip | 27591-1798
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Country | US
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Telephone | 262-758-0327
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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 | 1736109
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1212869
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License Number State | NC
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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 | A21152
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License Number State | NC
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