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General NPI Number Information
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NPI Number | 1619401619
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Entity Type | Organization
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Legal Business Name | 3ELEMENTS COUNSELING
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 10410 KENSINGTON PKWY SUITE 110
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City | KENSINGTON
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State | MD
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Zip | 20895-2943
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Country | US
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Telephone | 301-520-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 10410 KENSINGTON PKWY SUITE 110
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City | KENSINGTON
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State | MD
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Zip | 20895-2943
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Country | US
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Telephone | 301-520-4880
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND THERAPIST
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Name | MRS. PAULA CATALAN
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Credential | LCPC
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Telephone | 301-520-4880
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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 | LC2351
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License Number State | MD
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