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General NPI Number Information
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NPI Number | 1629598719
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Entity Type | Individual
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Provider Name | BRITTNI WILLOUGHBY LCPC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 116 W MAIN ST STE 204
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City | SALISBURY
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State | MD
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Zip | 21801-4905
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Country | US
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Telephone | 443-859-8584
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Fax | 443-859-8496
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Provider Business Mailing Address
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Address Line | PO BOX 3009
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City | SALISBURY
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State | MD
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Zip | 21802-3009
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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 |
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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 | LC8971
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License Number State | MD
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