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General NPI Number Information
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NPI Number | 1922355197
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Entity Type | Organization
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Legal Business Name | C G COUNSELING AND CONSULTING,PLLC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 201 NEW BRIDGE STREET SUITE 208
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4736
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Country | US
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Telephone | 910-934-7042
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Fax | 910-333-9742
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Provider Business Mailing Address
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Address Line | 201 NEW BRIDGE ST SUITE 208
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4736
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Country | US
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Telephone | 910-934-7042
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Fax | 910-333-9742
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Authorized Official
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Title or Position | OWNER
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Name | DR. CATHERINE A GNEITING
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Credential | PH.D
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Telephone | 910-934-7042
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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 | 13 00017208
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License Number State | NC
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