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General NPI Number Information
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NPI Number | 1275372559
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Entity Type | Organization
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Legal Business Name | CONSCIOUS COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 400 N CENTER DR STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-0002
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Country | US
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Telephone | 703-881-8732
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N CENTER DR STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-0002
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Country | US
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Telephone | 703-881-8732
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER PARKIN
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Credential |
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Telephone | 703-881-8732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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