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General NPI Number Information
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NPI Number | 1679083273
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Entity Type | Individual
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Provider Name | AUDREY ARZAMENDI MS, LCMHC-S. LCAS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 200 TARPON TRL
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5287
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Country | US
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Telephone | 910-938-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 104 GREEN TREE LN
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City | NEWPORT
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State | NC
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Zip | 28570-8815
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Country | US
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Telephone | 910-265-1719
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC20465
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S11376
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | S11376
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License Number State | NC
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