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General NPI Number Information
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NPI Number | 1144033622
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Entity Type | Individual
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Provider Name | VONDA KAYE SESSOMS GREENE QMHP, CSAC-A
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 601 N MECHANIC ST # 224
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City | FRANKLIN
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State | VA
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Zip | 23851-1455
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Country | US
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Telephone | 757-567-5854
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Fax |
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Provider Business Mailing Address
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Address Line | 21398 BUCKHORN QUARTER RD
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City | COURTLAND
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State | VA
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Zip | 23837-2416
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Country | US
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Telephone |
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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 | 0711000736
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License Number State | VA
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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 | 0732006194
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License Number State | VA
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