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General NPI Number Information
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NPI Number | 1932821329
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Entity Type | Individual
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Provider Name | INDIA S MCWHORTER LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 980-858-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 40 PARKER FEIMSTER LN
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City | STONY POINT
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State | NC
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Zip | 28678-9138
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Country | US
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Telephone | 828-832-6116
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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 | A18112
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License Number State | NC
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