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General NPI Number Information
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NPI Number | 1609626365
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Entity Type | Organization
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Legal Business Name | WELLNESS RESTORATION COUNSELING PLLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 5420 LYNX LN UNIT 239
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City | COLUMBIA
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State | MD
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Zip | 21044-2487
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Country | US
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Telephone | 202-925-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-427-3996
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOTHERAPIST
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Name | MRS. MARYLIN MARQUEZ BECKLEY
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Credential | LPC, NCC, CCTP
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Telephone | 202-427-3996
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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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