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General NPI Number Information
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NPI Number | 1306214580
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Entity Type | Organization
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Legal Business Name | QUALITY COUNSELING SERVICES
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 6120 BRANDON AVE SUITE 116
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2522
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Country | US
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Telephone | 571-484-7295
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Fax | 206-338-3410
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Provider Business Mailing Address
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Address Line | 6144 CILANTRO DR
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2655
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Country | US
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Telephone | 571-484-7295
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Fax | 206-338-3410
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Authorized Official
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Title or Position | CEO
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Name | MS. KAY DREYER WATKINS
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Credential | L.M.F.T.
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Telephone | 571-484-7295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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