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General NPI Number Information
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NPI Number | 1578426490
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Entity Type | Organization
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Legal Business Name | CLAY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 10715 BRICE CT
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-7730
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Country | US
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Telephone | 540-300-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 10715 BRICE CT
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-7730
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Country | US
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Telephone | 540-903-9860
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | EMMA CLAY
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Credential | LCSW
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Telephone | 540-300-6331
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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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