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General NPI Number Information
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NPI Number | 1356735815
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Entity Type | Organization
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Legal Business Name | INSIGHT INTO ACTION THERAPY
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 44340 PREMIER PLZ SUITE 230
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City | ASHBURN
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State | VA
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Zip | 20147-5073
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Country | US
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Telephone | 703-930-8753
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Fax |
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Provider Business Mailing Address
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Address Line | 44340 PREMIER PLZ SUITE 230
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City | ASHBURN
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State | VA
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Zip | 20147-5073
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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 | CO-FOUNDER
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Name | CYNTHIA TURNER
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Credential | LCSW, LSATP
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Telephone | 703-930-8753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0718000204
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904004780
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License Number State | VA
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