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General NPI Number Information
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NPI Number | 1023345881
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Entity Type | Organization
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Legal Business Name | A CENTER FOR ADULT, FAMILY AND CAREER COUNSELING
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Dates
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Enumeration Date | 11/14/2009
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Last Update Date | 11/14/2009
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Provider Practice Location Address
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Address Line | 10400 EATON PL SUITE 110
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City | FAIRFAX
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State | VA
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Zip | 22030-2208
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Country | US
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Telephone | 703-346-3032
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Fax | 703-691-0187
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Provider Business Mailing Address
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Address Line | 10420 BRECKINRIDGE LN
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City | FAIRFAX
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State | VA
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Zip | 22030-3419
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Country | US
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Telephone | 793-691-4968
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Fax | 703-691-0187
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. PATRICIA ANN MORGAN
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Credential | PH.D; L.C.S.W.
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Telephone | 703-273-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904000407
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License Number State | VA
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