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General NPI Number Information
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NPI Number | 1053859025
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Entity Type | Organization
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Legal Business Name | GUIDING PRINCIPLES COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 957 RUSSELL AVE SUITE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879-6215
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Country | US
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Telephone | 301-642-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 957 RUSSELL AVE. SUITE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879
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Country | US
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Telephone | 301-642-5907
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | ELLA MAE GRAY
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Credential | M.A., LCPC
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Telephone | 301-642-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC-4709
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License Number State | MD
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