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General NPI Number Information
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NPI Number | 1538811492
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Entity Type | Organization
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Legal Business Name | COUNSELING STATION, LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 3959 ELECTRIC RD STE 426
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City | ROANOKE
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State | VA
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Zip | 24018-4562
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Country | US
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Telephone | 540-655-9259
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Fax | 540-566-3056
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Provider Business Mailing Address
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Address Line | 1632 LANCING DR APT 30
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City | SALEM
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State | VA
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Zip | 24153-7516
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Country | US
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Telephone | 540-655-9259
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Fax | 540-566-3056
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIA WEAVER
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Credential |
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Telephone | 540-529-8543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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