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General NPI Number Information
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NPI Number | 1194192203
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Entity Type | Organization
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Legal Business Name | BAY AREA CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 102 OLD SOLOMONS ISLAND RD SUITE #202
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3816
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Country | US
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Telephone | 410-266-3058
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Fax | 410-266-3257
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Provider Business Mailing Address
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Address Line | 102 OLD SOLOMONS ISLAND RD SUITE #202
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3816
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Country | US
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Telephone | 410-266-3058
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Fax | 410-266-3257
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JAMES ALLEN STAFFORD
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Credential | LCPC MA
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Telephone | 410-266-3058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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