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General NPI Number Information
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NPI Number | 1497627145
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Entity Type | Organization
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Legal Business Name | 3C'S COMMUNITY CONNECTION COUNSELING LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 13381 BROOKFIELD CT
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City | CHANTILLY
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State | VA
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Zip | 20151-2617
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Country | US
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Telephone | 703-489-4823
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Fax |
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Provider Business Mailing Address
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Address Line | 13381 BROOKFIELD CT
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City | CHANTILLY
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State | VA
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Zip | 20151-2617
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Country | US
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Telephone | 703-489-4823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER N HABAQE
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Credential | LPC, CCMHC
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Telephone | 703-489-4823
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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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