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General NPI Number Information
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NPI Number | 1609885664
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Entity Type | Organization
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Legal Business Name | PAMLICO COUNSELING PLLC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 408 E 11TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3719
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Country | US
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Telephone | 252-975-2027
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Fax | 252-975-3483
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Provider Business Mailing Address
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Address Line | 408 E 11TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3719
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Country | US
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Telephone | 252-975-2027
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Fax | 252-975-3483
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CATHERINE DEMARTIN MANNING
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Credential | LCMHC
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Telephone | 252-975-2027
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 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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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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