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General NPI Number Information
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NPI Number | 1205452216
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Entity Type | Organization
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Legal Business Name | PAWS2HEAL MENTAL HEALTH COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 10 N PENDLETON ST
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City | MIDDLEBURG
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State | VA
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Zip | 20117-2681
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Country | US
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Telephone | 540-687-0289
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 962
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City | MIDDLEBURG
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State | VA
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Zip | 20118-0962
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Country | US
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Telephone | 540-687-0289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE YUETTER
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Credential | LPC
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Telephone | 540-687-0289
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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 |
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License Number State |
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