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General NPI Number Information
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NPI Number | 1265569180
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Entity Type | Individual
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Provider Name | COURTENAY JONES CULP LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1555 CONNECTICUT AVE NW # 4E
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City | WASHINGTON
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State | DC
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Zip | 20036-1111
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Country | US
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Telephone | 301-933-3617
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Fax | 301-933-1795
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Provider Business Mailing Address
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Address Line | PO BOX 567
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City | GARRETT PARK
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State | MD
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Zip | 20896-0567
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PRC20
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License Number State | DC
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