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General NPI Number Information
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NPI Number | 1003540741
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Entity Type | Organization
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Legal Business Name | WATCHTOWER COUNSELING LLC
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 800 SEMMES AVE APT 613
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City | RICHMOND
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State | VA
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Zip | 23224-2366
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Country | US
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Telephone | 804-929-8229
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 CABELL ST
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City | LYNCHBURG
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State | VA
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Zip | 24504-1003
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Country | US
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Telephone | 804-929-8229
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. NAKEEMA JANAE PATRICK
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Credential | LPC
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Telephone | 804-929-8229
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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 |
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License Number State |
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