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General NPI Number Information
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NPI Number | 1194211995
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Entity Type | Organization
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Legal Business Name | CARAEL GROUP, LLC
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 15732 CRABBS BRANCH WAY FL 2
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City | DERWOOD
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State | MD
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Zip | 20855-2620
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Country | US
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Telephone | 240-799-1520
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Fax | 240-556-0446
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Provider Business Mailing Address
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Address Line | 13911 HIGHSTREAM PL
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City | GERMANTOWN
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State | MD
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Zip | 20874-6161
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Country | US
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Telephone | 240-889-1251
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Fax |
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Authorized Official
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Title or Position | CHIEF THERAPIST/CEO
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Name | MRS. LATONIA D STATEN
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Credential | LCPC
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Telephone | 240-799-1520
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC8789
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License Number State | MD
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