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General NPI Number Information
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NPI Number | 1801379680
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Entity Type | Organization
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Legal Business Name | PERSPECTIVE COUNSELING, PLLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 8155 MCGUIRE DR
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City | RALEIGH
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State | NC
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Zip | 27616-7700
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Country | US
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Telephone | 984-212-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 8155 MCGUIRE DR
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City | RALEIGH
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State | NC
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Zip | 27616-7700
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Country | US
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Telephone | 984-212-3788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA WILDER
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Credential | LCSW, LCAS
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Telephone | 984-212-3788
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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 | LCAS-20491
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010387
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License Number State | NC
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