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General NPI Number Information
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NPI Number | 1760207344
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Entity Type | Individual
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Provider Name | CHRISTINA OSTOVICH LCMHCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 340 COMMERCE AVE STE 10&11
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-7093
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Country | US
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Telephone | 910-725-6336
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Fax | 888-972-8390
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Provider Business Mailing Address
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Address Line | 340 COMMERCE AVE STE 10&11
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-7093
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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 | A20779
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License Number State | NC
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