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General NPI Number Information
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NPI Number | 1467792929
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 1 COLUMBUS CTR SUITE #600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6722
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Country | US
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Telephone | 571-483-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COLUMBUS CTR SUITE #600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6722
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Country | US
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Telephone | 571-483-0057
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. STEPHEN H HAMEL
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Credential | PH.D., ABPP
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Telephone | 571-483-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3873
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License Number State | VA
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