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General NPI Number Information
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NPI Number | 1194670752
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Entity Type | Individual
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Provider Name | JUSTICE WEKE LGPC
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Gender | Male
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 16900 SCIENCE DR STE 208-210
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City | BOWIE
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State | MD
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Zip | 20715-4401
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Country | US
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Telephone | 240-617-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 6107 GRENFELL LOOP
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City | BOWIE
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State | MD
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Zip | 20720-5337
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Country | US
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Telephone | 240-608-0395
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP17606
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License Number State | MD
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