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General NPI Number Information
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NPI Number | 1477813822
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Entity Type | Organization
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Legal Business Name | CONTEMPLATIVE COUNSELING LLC
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Dates
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Enumeration Date | 05/19/2012
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 304 W CHESAPEAKE AVE
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City | TOWSON
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State | MD
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Zip | 21204-4405
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Country | US
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Telephone | 443-632-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 713 HILLEN ROAD
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City | TOWSON
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State | MD
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Zip | 21286-4405
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Country | US
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Telephone | 443-632-8814
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | DAWN T LEWIS
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Credential | MS, LCPC, NCC
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Telephone | 443-632-8814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LC4446
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LC4446
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License Number State | MD
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