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General NPI Number Information
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NPI Number | 1003213158
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Entity Type | Organization
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Legal Business Name | HEALING JOURNEY COUNSELING, LLC
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 101 N LYNNHAVEN RD SUITE 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7523
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Country | US
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Telephone | 757-414-7072
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Fax |
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Provider Business Mailing Address
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Address Line | 551 BARBERTON DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6319
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Country | US
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Telephone | 757-414-7072
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | KATHLEEN M GABRIS
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Credential | LPC
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Telephone | 757-414-7072
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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 | 0701004911
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License Number State | VA
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