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General NPI Number Information
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NPI Number | 1962848291
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL COUNSELING & PSYCHOLOGICAL SVC, PA
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 916 HAY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5314
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Country | US
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Telephone | 910-485-1703
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Fax | 910-435-0962
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Provider Business Mailing Address
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Address Line | 916 HAY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5314
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Country | US
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Telephone | 910-485-1703
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Fax | 910-435-0962
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JANET O CARDASSI
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Credential |
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Telephone | 910-485-1703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-026-887
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License Number State | NC
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