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General NPI Number Information
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NPI Number | 1972836989
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE COUNSELING AND EVALUATION CENTER, PLLC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 223 COMMERCE ST SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27858-5032
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Country | US
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Telephone | 252-258-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 TRINITY DR
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City | GREENVILLE
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State | NC
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Zip | 27834-8055
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Country | US
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Telephone | 252-258-9828
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/PSYCHOTHERAPIST
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Name | DANIELLE N WUNKER
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Credential | LPC, LCAS, CRC
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Telephone | 252-258-9828
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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 | 7173
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License Number State | NC
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