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General NPI Number Information
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NPI Number | 1023986205
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Entity Type | Individual
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Provider Name | GLORIA EVERETT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 7603 GEORGIA AVE NW STE 305
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City | WASHINGTON
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State | DC
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Zip | 20012-1617
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Country | US
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Telephone | 202-779-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 1374 SOMERSET PL NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1135
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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 |
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Name |
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Credential |
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Telephone |
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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 | LC301317
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC301317
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License Number State | DC
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