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General NPI Number Information
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NPI Number | 1396838454
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Entity Type | Individual
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Provider Name | VALERIE LYNN MITCHELL LPC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 5267 GREENWICH RD STE 301B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6043
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Country | US
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Telephone | 757-542-0032
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Fax | 804-441-9080
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Provider Business Mailing Address
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Address Line | 945 12TH ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4395
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Country | US
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Telephone | 575-420-0327
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Fax | 804-441-9080
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004026
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License Number State | VA
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