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NPI 1801608336

NPI 1801608336 : SOLOMON COUNSELING SERVICES, PLLC : SANFORD, NC

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General NPI Number Information
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    NPI Number           |    1801608336
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLOMON COUNSELING SERVICES, PLLC 
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Dates
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    Enumeration Date     |    01/22/2025
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    Last Update Date     |    01/22/2025
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Provider Practice Location Address
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    Address Line         |    306 COURT SQ 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27330-5657
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    Country              |    US
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    Telephone            |    984-368-0356
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5352 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27331-5352
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    Country              |    US
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    Telephone            |    984-368-0356
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR/CEO
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    Name                 |     DIANN DOWDY SOLOMON 
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    Credential           |    MSW, LCSW, LCAS
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    Telephone            |    984-368-0356
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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       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #3
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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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