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General NPI Number Information
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NPI Number | 1023645488
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Entity Type | Organization
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Legal Business Name | CLARITY COVE COUNSELING LLC
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 9120 CHESAPEAKE AVE STE 101D
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City | NORTH BEACH
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State | MD
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Zip | 20714-5043
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Country | US
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Telephone | 301-818-9954
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Fax | 301-818-9974
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Provider Business Mailing Address
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Address Line | 2925 QUEENSBERRY DR
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-2325
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Country | US
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Telephone | 774-413-0157
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. ADRIENNE CLAIRE JEFFRIES
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Credential | LCSW
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Telephone | 774-413-0157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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