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General NPI Number Information
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NPI Number | 1629688205
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Entity Type | Organization
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Legal Business Name | ABDO COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 1118 SAM NEWELL RD STE D2
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City | MATTHEWS
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State | NC
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Zip | 28105-5162
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Country | US
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Telephone | 980-224-6612
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 SAM NEWELL RD STE D2
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City | MATTHEWS
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State | NC
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Zip | 28105-5162
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Country | US
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Telephone | 980-224-6612
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Fax |
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Authorized Official
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Title or Position | LEAD THERAPIST
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Name | JOANN M ABDO
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Credential | LCSW
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Telephone | 980-224-6612
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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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