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General NPI Number Information
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NPI Number | 1003657321
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Entity Type | Organization
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Legal Business Name | ESSENTIAL GUIDANCE LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 111 WARREN RD # 14B15B
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2429
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Country | US
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Telephone | 443-500-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 PENNSYLVANIA AVE UNIT 12707
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City | BALTIMORE
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State | MD
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Zip | 21217-7534
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Country | US
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Telephone | 443-500-1660
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | RAQUEL JOHNSON
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Credential |
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Telephone | 443-500-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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