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General NPI Number Information
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NPI Number | 1588439095
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Entity Type | Organization
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Legal Business Name | BLUESTONE COUNSELING GROUP, PLLC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 509 DECATUR ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-4746
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Country | US
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Telephone | 301-717-2878
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60444
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City | WASHINGTON
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State | DC
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Zip | 20039-0444
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Country | US
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Telephone | 301-717-2878
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Fax |
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Authorized Official
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Title or Position | FOUNDER & THERAPIST
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Name | ALEXANDRA WEISBROT
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Credential | LICSW
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Telephone | 301-717-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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