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General NPI Number Information
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NPI Number | 1932023348
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Entity Type | Organization
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Legal Business Name | F&J FAMILY SERVICES PLLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 107 W ELWOOD AVE
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City | RAEFORD
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State | NC
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Zip | 28376-2801
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Country | US
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Telephone | 910-502-2018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8041
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9007
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Country | US
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Telephone | 910-502-2018
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MELINDA FREDERICK
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Credential | LCSW/LCAS
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Telephone | 732-570-6698
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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 |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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