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General NPI Number Information
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NPI Number | 1649072315
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Entity Type | Individual
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Provider Name | STEPHANIE ANNE RAYBURN LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 626 N MAIN ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3820
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Country | US
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Telephone | 828-283-0113
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Fax | 828-246-0254
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Provider Business Mailing Address
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Address Line | 988 KITCHENS BRANCH RD
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City | SYLVA
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State | NC
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Zip | 28779-7762
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Country | US
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Telephone | 828-226-7705
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Fax |
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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 | A21134
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License Number State | NC
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