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General NPI Number Information
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NPI Number | 1548950108
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Entity Type | Individual
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Provider Name | SEKESHA GRAHAM CHESTNUT LCMHC-A
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 5720 CREEDMOOR RD STE 201
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City | RALEIGH
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State | NC
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Zip | 27612-2383
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Country | US
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Telephone | 919-977-6018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 225
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City | WENDELL
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State | NC
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Zip | 27591-0225
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Country | US
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Telephone | 919-906-0377
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A18656
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License Number State | NC
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