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General NPI Number Information
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NPI Number | 1588617468
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Entity Type | Individual
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Provider Name | CATHY KILLIAN REINBOLD LPC, LEAP, LCAS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1230 W MOREHEAD ST SUITE 114
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City | CHARLOTTE
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State | NC
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Zip | 28208-5205
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Country | US
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Telephone | 704-374-1071
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Fax | 704-374-1078
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Provider Business Mailing Address
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Address Line | 1230 WEST MOREHEAD STREET, SUITE 114
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City | CHARLOTTE
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State | NC
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Zip | 28208
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Country | US
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Telephone | 704-374-1071
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Fax | 704-374-1078
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 35
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 555
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2425
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License Number State | NC
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