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General NPI Number Information
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NPI Number | 1447919337
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Entity Type | Individual
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Provider Name | DENISE MARIE LCPC, ATR-BC,NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 180 FERRUM MOUNTAIN RD
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City | FERRUM
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State | VA
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Zip | 24088-2939
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Country | US
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Telephone | 540-365-4469
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Fax | 276-398-3331
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | LAUREL FORK
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State | VA
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Zip | 24352-0009
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Country | US
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Telephone | 276-398-1200
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Fax | 276-398-3331
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 04-067
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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 | 0701015521
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License Number State | VA
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