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General NPI Number Information
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NPI Number | 1891099859
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Entity Type | Individual
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Provider Name | LATASHA Y BECTON PHD, LCMHC, LCAS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 1400 OLD MILL CIRCLE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2701
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Country | US
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Telephone | 336-575-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 WILD POPLAR WAY
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City | GREENSBORO
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-575-8985
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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 | 8135
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8135
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2734
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2734-A
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8135
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License Number State | NC
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A8135
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8135
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A8135
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License Number State | NC
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