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General NPI Number Information
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NPI Number | 1821647686
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Entity Type | Individual
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Provider Name | DONTREASE MONIQUE THOMAS MA, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 523 N US HIGHWAY 1
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City | ROCKINGHAM
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State | NC
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Zip | 28379-7771
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Country | US
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Telephone | 704-939-1100
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Fax | 704-939-1173
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Provider Business Mailing Address
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Address Line | 2735 OLDENWAY DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-9774
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Country | US
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Telephone | 773-350-3710
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Fax | 704-782-7617
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 14893
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License Number State | NC
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