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General NPI Number Information
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NPI Number | 1003729880
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Entity Type | Organization
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Legal Business Name | JEFF MAZZONE COUNSELING & SERVICES, LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1671 EMANCIPATION HWY STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4668
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Country | US
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Telephone | 540-277-0196
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 EMANCIPATION HWY STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4668
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & FOUNDER
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Name | MR. JEFFREY THOMAS MAZZONE
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Credential | MA, LPC, MA
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Telephone | 475-289-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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