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General NPI Number Information
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NPI Number | 1689869380
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Entity Type | Organization
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Legal Business Name | EAST COAST COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 618 N HOWE ST
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City | SOUTHPORT
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State | NC
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Zip | 28461-3426
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Country | US
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Telephone | 910-278-2544
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 826
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City | OAK ISLAND
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State | NC
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Zip | 28465-9820
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Country | US
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Telephone | 910-278-2544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH HANNA
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Credential | LPC, LMFT
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Telephone | 910-278-2544
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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 | 5100
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License Number State | NC
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