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General NPI Number Information
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NPI Number | 1194082875
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Entity Type | Individual
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Provider Name | J ALEXANDRA HERRERA MA ATR-BC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 3950 CHAIN BRIDGE RD
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City | FAIRFAX
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State | VA
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Zip | 22030-3935
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Country | US
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Telephone | 571-234-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 3874 LYNDHURST DR #302
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City | FAIRFAX
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State | VA
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Zip | 22031-3723
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC14179
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701005276
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License Number State | VA
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