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General NPI Number Information
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NPI Number | 1043711534
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Entity Type | Organization
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Legal Business Name | SEASONS COUNSELING, PLLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 311 S EAST ST STE 100
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City | CULPEPER
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State | VA
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Zip | 22701-3277
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Country | US
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Telephone | 540-422-0709
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Fax |
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Provider Business Mailing Address
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Address Line | 8066 KATHLEENE CT
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City | CULPEPER
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State | VA
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Zip | 22701-9760
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Country | US
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Telephone | 540-229-6342
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ANNE C LUCKINBILL
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Credential | LPC
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Telephone | 540-229-6342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701007411
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License Number State | VA
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