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General NPI Number Information
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NPI Number | 1275423329
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Entity Type | Organization
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Legal Business Name | ORIGINAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2131 TANNIN PL APT 214
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City | VIENNA
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State | VA
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Zip | 22182-4607
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Country | US
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Telephone | 301-535-8368
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Fax | 571-605-7290
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Provider Business Mailing Address
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Address Line | 9480 MAIN ST # 1241
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City | FAIRFAX
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State | VA
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Zip | 22031-4032
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Country | US
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Telephone | 571-408-9146
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Fax | 571-605-7290
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Authorized Official
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Title or Position | LICENSED PROFESIONAL COUNSELOR
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Name | ORI ADURE ONAZI
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Credential |
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Telephone | 301-535-8368
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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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