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General NPI Number Information
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NPI Number | 1124769237
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Entity Type | Organization
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Legal Business Name | TEEN TALK COUNSELING
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 13038 LIMESTONE CT
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City | CLIFTON
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State | VA
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Zip | 20124-0967
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Country | US
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Telephone | 703-544-7993
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Fax |
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Provider Business Mailing Address
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Address Line | 13038 LIMESTONE CT
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City | CLIFTON
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State | VA
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Zip | 20124-0967
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Country | US
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Telephone | 703-975-3362
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | JENNIFER WALKER
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Credential |
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Telephone | 703-975-3362
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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 |
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License Number State |
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