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General NPI Number Information
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NPI Number | 1679723225
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Entity Type | Individual
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Provider Name | CHARLOTTE ANN FEATHERSTON LPC
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Gender | Female
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 250 ARCHER AVE
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City | MAMMOTH SPRING
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State | AR
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Zip | 72554-8020
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Country | US
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Telephone | 870-907-0848
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Fax | 417-322-6099
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Provider Business Mailing Address
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Address Line | PO BOX 1142
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City | MAMMOTH SPRING
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State | AR
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Zip | 72554-1142
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Country | US
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Telephone | 870-907-0848
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Fax | 417-322-6099
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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 | 2023040471
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P1206072
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A0612081
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License Number State | AR
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