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General NPI Number Information
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NPI Number | 1801647573
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Entity Type | Individual
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Provider Name | MARISSA ROSE VARGO LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 152 UPPER BRUSH CREEK RD
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City | FLETCHER
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State | NC
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Zip | 28732-8476
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Country | US
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Telephone | 603-553-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HAW CREEK TRCE
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City | ASHEVILLE
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State | NC
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Zip | 28805-1900
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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 | 101Y00000X
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Taxonomy Name | 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A20236
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License Number State | NC
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