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General NPI Number Information
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NPI Number | 1932861499
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Entity Type | Individual
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Provider Name | TIFFANY IRENE HOWERTON LCMHC, LCAS
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Gender | Female
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 5700 EXECUTIVE CENTER DR STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28212-8833
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Country | US
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Telephone | 704-494-7796
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Fax | 704-494-7799
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Provider Business Mailing Address
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Address Line | 5932 QUERCUS COVE CT APT 308
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City | CHARLOTTE
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State | NC
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Zip | 28217-0195
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Country | US
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Telephone | 336-602-8116
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16885
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License Number State | NC
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