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General NPI Number Information
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NPI Number | 1598103293
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Entity Type | Individual
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Provider Name | ELISE MILAGROS FERNANDEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 8480 HONEYCUTT RD STE 200
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City | RALEIGH
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State | NC
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Zip | 27615-2261
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Country | US
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Telephone | 919-520-2176
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Fax | 888-980-6893
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Provider Business Mailing Address
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Address Line | 8480 HONEYCUTT RD STE 200
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City | RALEIGH
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State | NC
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Zip | 27615-2261
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Country | US
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Telephone | 203-519-6900
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Fax | 888-980-6983
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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 | 3253
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18268
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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 | 8661
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License Number State | SC
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