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General NPI Number Information
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NPI Number | 1356636757
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Entity Type | Organization
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Legal Business Name | ACHIEVERS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 5950 POPLAR HALL DR STE 105
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City | NORFOLK
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State | VA
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Zip | 23502-3801
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Country | US
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Telephone | 757-580-8553
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Fax | 757-622-8977
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Provider Business Mailing Address
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Address Line | 5950 POPLAR HALL DR STE 105
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City | NORFOLK
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State | VA
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Zip | 23502-3801
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Country | US
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Telephone | 757-580-8553
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Fax | 757-622-8977
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KWAME OPOKU EDUSEI
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Credential |
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Telephone | 757-580-8553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1597
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License Number State | VA
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