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General NPI Number Information
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NPI Number | 1689544298
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Entity Type | Organization
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Legal Business Name | TEEN, TWEEN, AND CHILD COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 11/08/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 21 CRESCENT HILL CT
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City | DURHAM
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State | NC
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Zip | 27704-4962
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Country | US
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Telephone | 984-316-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 4819 EMPEROR BLVD STE 400
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City | DURHAM
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State | NC
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Zip | 27703-5420
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Country | US
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Telephone | 984-312-5996
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JENNIFER HOBBS
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Credential | LCMHC
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Telephone | 984-321-5996
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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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