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General NPI Number Information
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NPI Number | 1528516200
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Entity Type | Organization
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Legal Business Name | ABOUND COUNSELING, LLC
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 4229 LAFAYETTE CENTER DR STE 1200
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City | CHANTILLY
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State | VA
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Zip | 20151-1265
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Country | US
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Telephone | 571-340-2402
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Fax | 571-291-4141
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Provider Business Mailing Address
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Address Line | 40454 SOUSA PL
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City | ALDIE
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State | VA
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Zip | 20105-2392
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Country | US
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Telephone | 571-340-2402
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Fax | 571-291-4141
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Authorized Official
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Title or Position | OWNER
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Name | WENDY A KRUPA
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Credential | LCSW
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Telephone | 571-340-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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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 | 0904009040
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License Number State | VA
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