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General NPI Number Information
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NPI Number | 1598565301
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Entity Type | Individual
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Provider Name | MARISA ANITA OHNGEMACH LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1135 HEATHERSTONE DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4828
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Country | US
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Telephone | 540-699-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 829 SANTMYER DR SE
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City | LEESBURG
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State | VA
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Zip | 20175-5606
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Country | US
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Telephone | 703-597-3596
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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 | 0701014547
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License Number State | VA
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