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General NPI Number Information
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NPI Number | 1154401271
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Entity Type | Individual
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Provider Name | MARY LOUISE WELSH LPC LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7404 GALLERHER RD STE 100
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City | GAINESVILLE
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State | VA
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Zip | 20155
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Country | US
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Telephone | 703-753-7570
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Fax | 703-753-7560
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Provider Business Mailing Address
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Address Line | 14253 CLUBHOUSE RD
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City | GAINESVILLE
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State | VA
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Zip | 20155
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Country | US
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Telephone | 703-753-7570
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Fax | 703-753-7560
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002323
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000230
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License Number State | VA
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