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General NPI Number Information
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NPI Number | 1336012277
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Entity Type | Organization
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Legal Business Name | PANNA COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 5232 11TH ST E
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City | BRADENTON
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State | FL
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Zip | 34203-2628
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Country | US
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Telephone | 973-814-7765
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Fax |
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Provider Business Mailing Address
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Address Line | 5232 11TH ST E
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City | BRADENTON
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State | FL
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Zip | 34203-2628
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Country | US
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Telephone | 973-814-7765
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. VICTORIA PATRICIA PANNA
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Credential | PHD, LPC, ACS, NCC
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Telephone | 973-814-7765
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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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