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General NPI Number Information
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NPI Number | 1932283819
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Entity Type | Individual
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Provider Name | MELISSA BRINSON LCMHC-S, LCAS, CSS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1123 MARSHALL ST STE B
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City | RALEIGH
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State | NC
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Zip | 27604-1308
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Country | US
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Telephone | 919-618-7217
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Fax | 984-279-1400
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Provider Business Mailing Address
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Address Line | 1123 MARSHALL ST
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City | RALEIGH
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State | NC
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Zip | 27604-1308
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Country | US
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Telephone | 919-618-7217
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Fax | 984-279-1400
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1332
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701012794
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3115-S
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License Number State | NC
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