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General NPI Number Information
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NPI Number | 1689294670
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Entity Type | Individual
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Provider Name | KELLY HARVEY-JONES MA, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 11330 VANSTORY DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-8143
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Country | US
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Telephone | 704-268-9297
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Fax |
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Provider Business Mailing Address
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Address Line | 228 BROOK ST
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City | DAVIDSON
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State | NC
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Zip | 28036-8127
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Country | US
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Telephone | 704-654-0226
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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 | 8758
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License Number State | NC
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