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General NPI Number Information
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NPI Number | 1649417635
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Entity Type | Organization
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Legal Business Name | MOUNTAIN COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 45 N COUNTRY CLUB RD
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City | BREVARD
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State | NC
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Zip | 28712-8908
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Country | US
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Telephone | 828-883-9676
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Fax | 828-884-9753
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Provider Business Mailing Address
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Address Line | PO BOX 2722
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City | HENDERSONVILLE
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State | NC
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Zip | 28793-2722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ERICA R COOK
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Credential |
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Telephone | 828-692-7300
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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 | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NC
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Taxonomy #3
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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 | NC
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