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NPI 1720593783

NPI 1720593783 : JULIO STEVEN VILLACIS LPC, NCC : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1720593783
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    Entity Type          |    Individual 
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    Provider Name        |    JULIO STEVEN VILLACIS LPC, NCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2017
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    4801 HARGROVE RD STE 100 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27616-1949
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    Country              |    US
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    Telephone            |    919-213-0504
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    Fax                  |    919-981-9213
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Provider Business Mailing Address
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    Address Line         |    5409 NEUSE WOOD DR 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27616-7744
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    Country              |    US
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    Telephone            |    
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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       |    12656
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    757108
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    License Number State |    NC
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