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General NPI Number Information
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NPI Number | 1750207197
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Entity Type | Organization
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Legal Business Name | SPARROW MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 895 STATE FARM RD STE 507-7
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City | BOONE
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State | NC
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Zip | 28607-4917
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Country | US
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Telephone | 828-263-4358
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Fax |
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Provider Business Mailing Address
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Address Line | 256 CHARLES ST
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City | BOONE
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State | NC
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Zip | 28607-3418
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Country | US
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Telephone | 828-263-4358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAXELI MARTINEZ-GONZALEZ
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Credential | LCMHCA, CRC
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Telephone | 828-263-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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