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General NPI Number Information
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NPI Number | 1518753227
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Entity Type | Organization
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Legal Business Name | GUIDED GROWTH COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1059 NATIONAL HWY
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City | LAVALE
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State | MD
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Zip | 21502-7391
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Country | US
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Telephone | 301-697-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 21317 CHARLESTOWN RD SW
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City | LONACONING
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State | MD
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Zip | 21539-1394
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Country | US
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Telephone | 301-697-3444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE ANDREWS
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Credential | PHD, LCPC, NCC
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Telephone | 301-697-3444
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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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