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General NPI Number Information
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NPI Number | 1619482494
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Entity Type | Organization
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Legal Business Name | ANCHOR COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/03/2017
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Last Update Date | 12/03/2017
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Provider Practice Location Address
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Address Line | 4663 HAYGOOD RD STE 216
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5442
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Country | US
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Telephone | 757-412-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 BUNCH WALNUTS RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-2908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DR. REBECCA GRACE COWAN
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Credential | PHD, LPC, NCC, DCC
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Telephone | 757-412-7816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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