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General NPI Number Information
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NPI Number | 1558033068
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Entity Type | Organization
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Legal Business Name | JRM COUNSELLING
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Dates
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Enumeration Date | 10/03/2021
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Last Update Date | 10/03/2021
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Provider Practice Location Address
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Address Line | 700 BROOKS AVE
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City | RALEIGH
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State | NC
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Zip | 27607
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Country | US
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Telephone | 919-272-6932
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21
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City | GARNER
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State | NC
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Zip | 27529
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Country | US
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Telephone | 919-272-6932
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DR. ANGELINE M WOODSON
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Credential | PHD, LCMHCS, NCC
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Telephone | 919-272-6932
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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 |
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License Number State |
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