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General NPI Number Information
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NPI Number | 1922817790
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Entity Type | Individual
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Provider Name | SHAYLA S CREIGHTON LMFTA
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 105 PERSON ST STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5721
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Country | US
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Telephone | 910-916-6657
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Fax | 910-920-2420
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Provider Business Mailing Address
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Address Line | 3828 CHADBOURNE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-7609
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Country | US
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Telephone | 678-596-4005
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20281A
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License Number State | NC
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