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General NPI Number Information
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NPI Number | 1588176838
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Entity Type | Individual
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Provider Name | LEONA WILLIS LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 11/24/2024
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Provider Practice Location Address
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Address Line | 1300 L ST NW STE 1030
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City | WASHINGTON
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State | DC
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Zip | 20005-4107
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Country | US
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Telephone | 202-597-5816
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Fax |
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Provider Business Mailing Address
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Address Line | 3738 CASTLE TER
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City | SILVER SPRING
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State | MD
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Zip | 20904-4702
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Country | US
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Telephone | 202-747-8973
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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 | LC9106
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License Number State | MD
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