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General NPI Number Information
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NPI Number | 1154183325
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Entity Type | Organization
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Legal Business Name | BLUE VASE COUNSELING PLLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 400 E PRATT ST FL 8
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City | BALTIMORE
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State | MD
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Zip | 21202-3180
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Country | US
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Telephone | 410-929-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 11 S 12TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-4053
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Country | US
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Telephone | 540-354-8343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL MARIA MUNIZ
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Credential | LCSWC
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Telephone | 540-354-8343
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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 |
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License Number State |
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Taxonomy #2
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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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