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General NPI Number Information
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NPI Number | 1659210417
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Entity Type | Individual
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Provider Name | PATRICIA SOFIA ARCHILLA-FRATICELLI LCMHCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | B11 CALLE CRISANTEMOS
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City | CAGUAS
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State | PR
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Zip | 00727-1259
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Country | US
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Telephone | 939-273-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 E MOREHEAD ST STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28204-2870
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Country | US
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Telephone | 980-220-2223
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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 | A22244
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License Number State | NC
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