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General NPI Number Information
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NPI Number | 1235418773
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Entity Type | Organization
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Legal Business Name | C & C COUNSELING SERVICES INC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 800 CORPORATE DR SUITE 301
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City | STAFFORD
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State | VA
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Zip | 22554-4889
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Country | US
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Telephone | 540-840-5951
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Fax | 540-659-7270
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Provider Business Mailing Address
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Address Line | 149 DUNBAR DR
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City | STAFFORD
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State | VA
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Zip | 22556-6004
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Country | US
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Telephone | 540-840-5951
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Fax | 540-659-7270
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Authorized Official
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Title or Position | PRESIDENT/COUNSELOR
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Name | SUNDRA M CESSNA
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Credential | LPC
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Telephone | 540-840-5951
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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 | 0701004636
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License Number State | VA
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