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General NPI Number Information
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NPI Number | 1114446341
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Entity Type | Organization
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Legal Business Name | DISTRICT COUNSELING AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 09/19/2017
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Provider Practice Location Address
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Address Line | 1724 20TH ST NW STE 203
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City | WASHINGTON
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State | DC
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Zip | 20009-1355
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Country | US
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Telephone | 202-714-5773
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Fax | 202-888-3454
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Provider Business Mailing Address
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Address Line | 1635 R ST NW APT 32
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City | WASHINGTON
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State | DC
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Zip | 20009-6430
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Country | US
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Telephone | 202-714-5773
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Fax | 202-888-3454
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NATALIE VENTERS SETLIFF
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Credential | LMFT
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Telephone | 304-890-0129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT000181
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License Number State | DC
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