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General NPI Number Information
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NPI Number | 1285339168
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Entity Type | Organization
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Legal Business Name | CHANNELING YOUR STRENGTH
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 636 RAVENWOOD DR
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7591
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Country | US
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Telephone | 443-529-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 636 RAVENWOOD DR
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7591
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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 | THERAPIST
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Name | MR. TERRILL MCKNIGHT
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Credential |
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Telephone | 443-529-7140
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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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