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General NPI Number Information
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NPI Number | 1255927026
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Entity Type | Organization
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Legal Business Name | FIELDS OF CHANGE COUNSELING SERVICES
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 221 RUTHERS RD STE 102
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5395
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Country | US
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Telephone | 804-869-4225
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Fax | 804-729-9330
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Provider Business Mailing Address
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Address Line | 221 RUTHERS RD STE 102
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5395
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Country | US
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Telephone | 804-869-4225
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Fax | 804-729-9330
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Authorized Official
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Title or Position | PROVIDER
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Name | DIONE FIELDS
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Credential | LPC, NCC
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Telephone | 804-324-3780
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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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