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General NPI Number Information
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NPI Number | 1114749637
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Entity Type | Individual
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Provider Name | SHAVON WILLIAMS COUNSELOR
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Gender | Female
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Dates
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Enumeration Date | 10/26/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 3251 MOUNT PLEASANT ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2103
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Country | US
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Telephone | 202-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 1346 4TH ST SE APT 427
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City | WASHINGTON
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State | DC
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Zip | 20003-2653
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Country | US
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Telephone | 202-534-5527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LGPC200001257
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License Number State | DC
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