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General NPI Number Information
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NPI Number | 1669395992
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Entity Type | Individual
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Provider Name | DEBRA AASE-FARNUM MA, LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1816 E 7TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28204-2416
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Country | US
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Telephone | 704-426-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 BURTONWOOD CIR
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City | CHARLOTTE
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State | NC
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Zip | 28212-7011
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Country | US
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Telephone | 980-800-4224
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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 | A23212
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License Number State | NC
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