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General NPI Number Information
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NPI Number | 1295440618
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Entity Type | Organization
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Legal Business Name | SI COUNSELING, LLC
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 15718 MAHOGANY CIR APT 111
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City | GAITHERSBURG
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State | MD
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Zip | 20878-4644
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Country | US
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Telephone | 301-664-4181
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Fax |
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Provider Business Mailing Address
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Address Line | 325 ELLINGTON BLVD # 319
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City | GAITHERSBURG
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State | MD
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Zip | 20878-4591
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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 | LICENSED PSYCHOTHERAPIST
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Name | MRS. MECHIA DEL REY SYDNOR
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Credential | MS, LCPC, NCC
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Telephone | 301-664-4181
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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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