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General NPI Number Information
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NPI Number | 1740820885
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Entity Type | Individual
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Provider Name | SARAH WALEWSKI LCMHC, LCAS
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Gender | Female
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 146 WIND CHIME CT STE A
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City | RALEIGH
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State | NC
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Zip | 27615-6433
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Country | US
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Telephone | 203-233-5360
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WADE AVE APT 211
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City | RALEIGH
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State | NC
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Zip | 27605-1878
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Country | US
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Telephone | 203-233-5360
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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 |
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License Number State |
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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 |
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License Number State |
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