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General NPI Number Information
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NPI Number | 1669525838
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Entity Type | Organization
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Legal Business Name | HEALING TREE COUNSELING CENTER
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 1203 SCHOOL ST STE 109B
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City | WILKESBORO
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State | NC
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Zip | 28697-2633
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Country | US
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Telephone | 336-903-8733
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 SCHOOL ST STE 109B
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City | WILKESBORO
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State | NC
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Zip | 28697-2633
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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 | OWNER/LEAD THERAPIST
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Name | MARGARET W. MAYCOCK
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Credential | MA, LPC
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Telephone | 336-973-8733
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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 |
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License Number State |
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