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General NPI Number Information
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NPI Number | 1134086937
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Entity Type | Organization
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Legal Business Name | GRATITUDE COUNSELING LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2965 MARSH HAWK DR
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City | WALDORF
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State | MD
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Zip | 20603-3904
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Country | US
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Telephone | 202-656-6185
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Fax |
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Provider Business Mailing Address
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Address Line | 1282 SMALLWOOD DR W # 415
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City | WALDORF
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State | MD
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Zip | 20603-4732
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Country | US
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Telephone | 202-656-6185
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER/PRACTITIONER
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Name | JASMINE T. GENUS
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Credential | LCSW-C
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Telephone | 619-456-7714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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