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General NPI Number Information
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NPI Number | 1851158349
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Entity Type | Organization
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Legal Business Name | CANVAS COUNSELING, PLLC
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 6604 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27615-6521
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Country | US
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Telephone | 919-333-7959
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2314
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City | GARNER
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State | NC
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Zip | 27529-2314
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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 | OWNER, THERAPIST
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Name | KATHERINE YATES
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Credential | MA, LCMHC, RPT
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Telephone | 919-333-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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