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General NPI Number Information
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NPI Number | 1407463623
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Entity Type | Organization
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Legal Business Name | METROPOLITAN COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 1503 N JEFFERSON ST
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City | ARLINGTON
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State | VA
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Zip | 22205-2839
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Country | US
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Telephone | 240-728-9183
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 N JEFFERSON ST
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City | ARLINGTON
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State | VA
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Zip | 22205-2839
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Country | US
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Telephone | 703-307-5731
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | ANDREA LYNN KIRSHNER
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Credential | LCSW, CSAC
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Telephone | 240-728-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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