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General NPI Number Information
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NPI Number | 1235598079
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Entity Type | Organization
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Legal Business Name | VALERIE STANSBERRY, MS, LPC, CRC, LLC
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 709 BEECHURST AVE STE 14B
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City | MORGANTOWN
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State | WV
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Zip | 26505-4689
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Country | US
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Telephone | 304-291-9491
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 ELJAZID ST UNIT 261
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City | DELLSLOW
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State | WV
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Zip | 26531-2026
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Country | US
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Telephone | 304-291-9491
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | VALERIE TENILLE STANSBERRY
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Credential |
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Telephone | 304-291-9491
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2054
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License Number State | WV
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