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General NPI Number Information
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NPI Number | 1548997257
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Entity Type | Individual
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Provider Name | JADA VICTORIA WILLIAMS LMCHC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 445 DOLLEY MADISON RD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27410-5166
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Country | US
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Telephone | 336-649-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 60 LIVINGSTON ST STE 100
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City | ASHEVILLE
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State | NC
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Zip | 28801-4400
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Country | US
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Telephone | 828-707-4473
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Fax | 828-236-9825
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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 |
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License Number State |
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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 | 18072
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License Number State | NC
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