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General NPI Number Information
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NPI Number | 1649120692
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Entity Type | Individual
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Provider Name | STEFANIE SMITH LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1207 WALTER REED RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4437
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Country | US
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Telephone | 910-339-1572
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Fax | 910-294-4989
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Provider Business Mailing Address
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Address Line | 6631 RUNNING FOX RD
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City | HOPE MILLS
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State | NC
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Zip | 28348-2931
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Country | US
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Telephone | 910-339-1572
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Fax | 910-294-4989
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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 | A22552
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License Number State | NC
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