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General NPI Number Information
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NPI Number | 1114945607
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Entity Type | Individual
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Provider Name | PHYLLIS BETH KOHLMANN LPC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5319 LEE HWY
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City | ARLINGTON
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State | VA
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Zip | 22207-1607
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Country | US
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Telephone | 703-532-7954
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 FREMONT LN
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City | VIENNA
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State | VA
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Zip | 22182-7307
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Country | US
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Telephone | 703-757-0707
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0718000039
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701000524
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC882
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License Number State | DC
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