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General NPI Number Information
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NPI Number | 1811405129
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Entity Type | Individual
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Provider Name | JAMILA AYOUBI LCMHC, LCASA
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Gender | Female
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Dates
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Enumeration Date | 01/21/2018
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 400 N WILLIAM ST STE 108
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City | GOLDSBORO
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State | NC
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Zip | 27530-2802
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Country | US
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Telephone | 919-298-2762
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Fax | 919-300-8041
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Provider Business Mailing Address
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Address Line | 400 N WILLIAM ST STE 108
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City | GOLDSBORO
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State | NC
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Zip | 27530-2802
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Country | US
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Telephone | 919-298-2762
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Fax | 919-300-8041
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-26424
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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 | 15838
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License Number State | NC
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