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General NPI Number Information
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NPI Number | 1588900807
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Entity Type | Individual
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Provider Name | KESSHIA M. BROWN LPC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 154 NORTH AVE
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City | DANVILLE
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State | VA
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Zip | 24540-3162
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Country | US
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Telephone | 434-250-0081
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Fax | 434-773-6931
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Provider Business Mailing Address
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Address Line | 154 NORTH AVE
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City | DANVILLE
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State | VA
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Zip | 24540-3162
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Country | US
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Telephone | 434-250-0081
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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 | 0701005343
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License Number State | VA
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