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General NPI Number Information
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NPI Number | 1558022038
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Entity Type | Organization
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Legal Business Name | KISHA NORMAN PROFESSIONAL COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 1841 NEWLANDS RD
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City | COLUMBIA
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State | NC
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Zip | 27925-8035
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Country | US
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Telephone | 252-394-1381
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 264
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City | COLUMBIA
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State | NC
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Zip | 27925-0264
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Country | US
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Telephone | 252-394-1381
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Fax |
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Authorized Official
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Title or Position | OWN/CONSELOR
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Name | KISHA NORMAN
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Credential | LCMHCA, LCASA, NCC
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Telephone | 252-394-1381
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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 |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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