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General NPI Number Information
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NPI Number | 1619489424
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Entity Type | Organization
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Legal Business Name | EVERWHEN THERAPY, LLC
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 3950 CHAIN BRIDGE RD STE 10
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City | FAIRFAX
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State | VA
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Zip | 22030-3935
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Country | US
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Telephone | 571-234-9184
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Fax | 703-277-9898
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Provider Business Mailing Address
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Address Line | 3950 CHAIN BRIDGE RD
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City | FAIRFAX
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State | VA
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Zip | 22030-3935
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Country | US
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Telephone | 571-234-9184
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Fax | 703-277-9898
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ALEXANDRA HERRERA
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Credential | MA-ATR, LPC
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Telephone | 571-234-9184
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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 | 0701005276
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License Number State | VA
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