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General NPI Number Information
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NPI Number | 1669646675
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Entity Type | Organization
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Legal Business Name | NATIONAL BOARD FOR CERTIFIED COUNSELORS
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 3 TERRACE WAY
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City | GREENSBORO
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State | NC
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Zip | 27403-3670
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Country | US
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Telephone | 336-547-0607
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Fax | 336-547-0017
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Provider Business Mailing Address
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Address Line | 3 TERRACE WAY
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City | GREENSBORO
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State | NC
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Zip | 27403-3670
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Country | US
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Telephone | 336-547-0607
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Fax | 336-547-0017
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Authorized Official
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Title or Position | CREDENTIALING SERVICES ADMINISTRATO
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Name | MS. PAMELA S. LEARY
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Credential | M.ED, NCC, LPC
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Telephone | 336-547-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 765
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License Number State | NC
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