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General NPI Number Information
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NPI Number | 1245806967
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Entity Type | Organization
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Legal Business Name | GROWING NEW POTENTIAL COUNSELING
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 509 QUINCE ORCHARD RD # 358
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1435
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Country | US
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Telephone | 434-594-9856
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Fax |
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Provider Business Mailing Address
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Address Line | 509 QUINCE ORCHARD RD # 358
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1435
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Country | US
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Telephone | 434-594-9856
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MISS GENARDRA PUGH
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Credential | LCPC
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Telephone | 434-594-9856
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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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