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General NPI Number Information
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NPI Number | 1790384105
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Entity Type | Individual
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Provider Name | CASSIE TIPTON YORK
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 86 N MITCHELL AVE
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City | BAKERSVILLE
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State | NC
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Zip | 28705-6502
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Country | US
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Telephone | 828-688-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SEVEN MILE RIDGE RD
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City | BURNSVILLE
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State | NC
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Zip | 28714-8509
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Country | US
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Telephone | 828-682-8102
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 16326
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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 | QS157006
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16326
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-26773
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License Number State | NC
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