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General NPI Number Information
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NPI Number | 1124415534
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Entity Type | Organization
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Legal Business Name | C.E. NASSI CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 3845 S CAPITOL ST SW
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City | WASHINGTON
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State | DC
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Zip | 20032-1419
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Country | US
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Telephone | 202-210-1299
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Fax |
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Provider Business Mailing Address
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Address Line | 66 55TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20019-6564
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Country | US
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Telephone | 202-210-1299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAREN DEVALERA
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Credential |
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Telephone | 202-210-1299
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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 | CACII 1254
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGPC00039
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC14847
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License Number State | DC
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