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General NPI Number Information
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NPI Number | 1831237056
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE PSCYHOLOGCIAL COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | PO BOX 18153
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City | CHARLOTTE
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State | NC
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Zip | 28218-0153
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Country | US
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Telephone | 704-535-5831
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Fax | 704-364-4141
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Provider Business Mailing Address
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Address Line | 3623 LATROBE DR STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28211-4864
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Country | US
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Telephone | 704-535-5831
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Fax | 704-364-4141
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICKIE EH NICHOLS
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Credential | M.ED
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Telephone | 704-535-5831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3252
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License Number State | NC
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