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NPI 1366073306

NPI 1366073306 : GOT YOUR SIX COUNSELING SERVICES, PLLC : DUMFRIES, VA

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General NPI Number Information
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    NPI Number           |    1366073306
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOT YOUR SIX COUNSELING SERVICES, PLLC 
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Dates
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    Enumeration Date     |    01/29/2020
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    17932 FRALEY BLVD STE 240 
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    City                 |    DUMFRIES
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    State                |    VA
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    Zip                  |    22026-2456
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    Country              |    US
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    Telephone            |    571-636-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17932 FRALEY BLVD STE 240 
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    City                 |    DUMFRIES
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    State                |    VA
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    Zip                  |    22026-2456
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    Country              |    US
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    Telephone            |    571-636-1800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTINA E ROCK 
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    Credential           |    LPC
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    Telephone            |    571-636-1800
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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       |    
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    License Number State |    
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Taxonomy #2
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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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