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General NPI Number Information
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NPI Number | 1477273399
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Entity Type | Organization
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Legal Business Name | WHOLISTIC COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 6712 WAY POINT DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-6298
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Country | US
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Telephone | 540-940-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 13926 HULL STREET RD # 1058
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2004
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Country | US
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Telephone | 540-940-7331
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN CLARK-LOWMAN
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Credential | LPC, NCC
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Telephone | 540-940-7331
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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 |
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License Number State |
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