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General NPI Number Information
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NPI Number | 1326951880
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Entity Type | Organization
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Legal Business Name | NOVA MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 443B CARLISLE DR FL 2
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City | HERNDON
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State | VA
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Zip | 20170-4802
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Country | US
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Telephone | 571-390-5339
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Fax |
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Provider Business Mailing Address
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Address Line | 2507 CAMBERWELL CT
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City | HERNDON
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State | VA
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Zip | 20171-2981
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Country | US
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Telephone | 571-390-5339
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. KATHERINE MENTAL HEALTH PANCIONE
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Credential | LPC
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Telephone | 571-390-5339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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