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General NPI Number Information
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NPI Number | 1952642472
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Entity Type | Organization
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Legal Business Name | COUNSELING AND SUPPORT ASSOCIATES, PC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 105 HIDDENITE CHURCH RD
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City | HIDDENITE
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State | NC
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Zip | 28636-8168
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Country | US
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Telephone | 828-999-2768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 813
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-0813
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Country | US
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Telephone | 828-989-7763
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Fax | 828-471-3995
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | CATHLEEN C JOHNSTONE
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Credential | LCMHC, LCAS
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Telephone | 828-989-7763
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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 | 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 #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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