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General NPI Number Information
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NPI Number | 1194186940
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Entity Type | Organization
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Legal Business Name | ASHES RISING COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 6608 WILKINS PL
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City | FORESTVILLE
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State | MD
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Zip | 20747-4155
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Country | US
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Telephone | 301-765-4747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4639
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City | UPPER MARLBORO
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State | MD
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Zip | 20775-0639
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Country | US
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Telephone | 301-765-4747
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Fax |
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Authorized Official
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Title or Position | OWNER,LCPC
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Name | BEVERLY SARGENT
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Credential |
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Telephone | 301-765-4747
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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 | LC4336
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License Number State | MD
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