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General NPI Number Information
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NPI Number | 1700132438
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Entity Type | Individual
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Provider Name | CATHY CLONINGER PASOUR MACC, LMFT, LCAS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 715 FAIRGROVE CHURCH RD SE STE 202
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City | CONOVER
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State | NC
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Zip | 28613
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Country | US
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Telephone | 704-689-8163
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Fax | 828-322-2280
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Provider Business Mailing Address
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Address Line | 715 FAIRGROVE CHURCH RD SE STE 202
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City | CONOVER
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State | NC
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Zip | 28613-9289
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Country | US
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Telephone | 828-638-5907
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Fax | 828-322-2280
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1453
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1818
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License Number State | NC
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