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General NPI Number Information
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NPI Number | 1629705496
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Entity Type | Individual
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Provider Name | BREELLE HUNTER LCMHC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 201 NEW BRIDGE ST UNIT 205
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4736
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Country | US
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Telephone | 910-212-6442
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Fax | 910-967-8765
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Provider Business Mailing Address
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Address Line | 201 NEW BRIDGE ST UNIT 205
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4736
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Country | US
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Telephone | 910-212-6442
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Fax | 910-967-8765
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17641
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License Number State | NC
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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 | A17641
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License Number State | NC
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