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General NPI Number Information
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NPI Number | 1992752539
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Entity Type | Organization
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Legal Business Name | THE LIFE COUNSELING CENTER, P.A.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 124 LIFE WAY
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City | CLYDE
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State | NC
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Zip | 28721-6540
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Country | US
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Telephone | 828-627-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 74 SUNFLOWER LN
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City | WAYNESVILLE
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State | NC
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Zip | 28785-8246
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Country | US
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Telephone | 828-926-4712
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES D. MARKS
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Credential | DDIV, LCPC
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Telephone | 828-627-5433
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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 | C005286
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License Number State | NC
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