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General NPI Number Information
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NPI Number | 1083481980
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Entity Type | Organization
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Legal Business Name | RESET AND REFLECT WELLNESS
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 9230 OLD KEENE MILL RD # 1069
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City | BURKE
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State | VA
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Zip | 22015-4201
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Country | US
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Telephone | 571-989-3741
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Fax |
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Provider Business Mailing Address
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Address Line | 9230 OLD KEENE MILL RD # 1069
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City | BURKE
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State | VA
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Zip | 22015-4201
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Country | US
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Telephone | 571-989-3741
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | FRANCES ROSA
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Credential | LPC
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Telephone | 581-989-3741
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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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