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NPI 1568063857

NPI 1568063857 : RELIEF COUNSELING GROUP PLLC : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1568063857
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIEF COUNSELING GROUP PLLC 
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Dates
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    Enumeration Date     |    11/04/2020
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    Last Update Date     |    11/04/2020
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Provider Practice Location Address
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    Address Line         |    8404 SIX FORKS RD STE 201 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27615-3072
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    Country              |    US
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    Telephone            |    919-438-3206
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    Fax                  |    919-298-8034
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Provider Business Mailing Address
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    Address Line         |    8404 SIX FORKS RD STE 201 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27615-3072
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    Country              |    US
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    Telephone            |    919-438-3206
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    Fax                  |    919-298-8034
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Authorized Official
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    Title or Position    |    OWNER/PSYCHOTHERAPIST
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    Name                 |     JUWAIRIAH ABDUL-HAKIM ABDUS-SABOOR 
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    Credential           |    LCSW
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    Telephone            |    919-438-3206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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