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General NPI Number Information
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NPI Number | 1902461296
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Entity Type | Individual
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Provider Name | ALLENA MCLAURIN MA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 108 GATEWAY BLVD STE 207
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City | MOORESVILLE
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State | NC
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Zip | 28117-5597
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Country | US
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Telephone | 980-222-1056
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Fax |
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Provider Business Mailing Address
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Address Line | 308 GREENVILLE BLVD SE STE B1
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City | GREENVILLE
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State | NC
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Zip | 27858-5758
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A20494
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License Number State | NC
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