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General NPI Number Information
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NPI Number | 1780377739
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Entity Type | Organization
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Legal Business Name | SALT & LIGHT CHRISTIAN COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 73 BIG HORN LN
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City | CLAYTON
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State | NC
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Zip | 27527-9532
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Country | US
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Telephone | 732-585-3569
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Fax |
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Provider Business Mailing Address
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Address Line | 73 BIG HORN LN
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City | CLAYTON
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State | NC
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Zip | 27527-9532
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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 | LCMHC/OWNER
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Name | RACHEL LEWIS
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Credential | LCMHC
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Telephone | 732-585-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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