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General NPI Number Information
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NPI Number | 1346015955
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Entity Type | Individual
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Provider Name | JAMI DANIELS HAPPY CSAC-S, LPC STUDENT
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Gender | Female
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Dates
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Enumeration Date | 11/24/2023
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 3404 ACORN STREET
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City | WILLIAMSBURG
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State | VA
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Zip | 23188
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Country | US
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Telephone | 757-705-3202
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Fax |
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Provider Business Mailing Address
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Address Line | 913 CHARTWELL DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-7751
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0709025282
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License Number State | VA
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