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General NPI Number Information
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NPI Number | 1437605755
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Entity Type | Organization
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Legal Business Name | CHASE COUNSELING, LLC
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 1110 BENFIELD BLVD SUITE H
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1705
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Country | US
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Telephone | 443-955-8611
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 BENFIELD BLVD SUITE H
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1705
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Country | US
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Telephone | 443-955-8611
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HEATHER SWAIN CHASE
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Credential | LCSW-C
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Telephone | 443-955-8611
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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 | 12927
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License Number State | MD
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