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General NPI Number Information
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NPI Number | 1528912789
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Entity Type | Individual
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Provider Name | RICHARD KUBILUS JR. LPC
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Gender | Male
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 5040 CORPORATE WOODS DR STE 150
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4383
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Country | US
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Telephone | 757-780-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 W 39TH ST
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City | NORFOLK
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State | VA
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Zip | 23508-2337
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Country | US
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Telephone | 757-630-4981
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0701015889
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License Number State | VA
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