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General NPI Number Information
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NPI Number | 1013287366
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Entity Type | Organization
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Legal Business Name | ALBEMARLE COUNSELING ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 106 CATY LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3208
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Country | US
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Telephone | 434-978-3900
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Fax | 434-978-3933
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Provider Business Mailing Address
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Address Line | 106 CATY LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3208
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Country | US
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Telephone | 434-978-3900
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Fax | 434-978-3933
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PENN TURNER
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Credential | LPC/LSATP
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Telephone | 434-978-3900
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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 | 0718000055
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5588
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002755
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License Number State | VA
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