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General NPI Number Information
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NPI Number | 1063234441
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Entity Type | Organization
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Legal Business Name | VANTAGE POINT COUNSELING LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4411 GREEN VALLEY RD STE 241
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City | MONROVIA
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State | MD
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Zip | 21770-9522
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Country | US
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Telephone | 301-447-0618
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 GREEN VALLEY RD STE 241
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City | MONROVIA
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State | MD
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Zip | 21770-9522
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Country | US
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Telephone | 301-447-0618
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | MR. SAMUEL LEE
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Credential | LCPC
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Telephone | 301-447-0618
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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 |
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License Number State |
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