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General NPI Number Information
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NPI Number | 1710100391
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Entity Type | Individual
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Provider Name | BRENDEN ALDRIC HARGETT LPC, LCAS
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1203 MAPLE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6910
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Country | US
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Telephone | 336-641-3019
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3388
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City | GREENSBORO
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State | NC
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Zip | 27402-3388
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Country | US
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Telephone | 336-641-3019
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 633
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2479
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License Number State | NC
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