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General NPI Number Information
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NPI Number | 1659661973
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Entity Type | Individual
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Provider Name | CHEVES ANNE WHITFIELD LCMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | TREE OF LIFE COUNSELING 10 DEWITT STREET SUITE 2
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City | JACKSONVILLE
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State | NC
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Zip | 28540
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Country | US
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Telephone | 336-288-9190
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Fax |
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Provider Business Mailing Address
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Address Line | TREE OF LIFE COUNSELING 10 DEWITT STREET, SUITE 2
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City | JACKSONVILLE
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State | NC
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Zip | 28540
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Country | US
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Telephone | 336-288-9190
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Fax | 336-450-4318
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8648
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License Number State | NC
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