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General NPI Number Information
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NPI Number | 1629775515
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Entity Type | Organization
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Legal Business Name | ANAM THERAPY COUNSELING INC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 4700 LEEWARD CT
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2139
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Country | US
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Telephone | 434-484-2000
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Fax | 434-422-5517
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Provider Business Mailing Address
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Address Line | 4700 LEEWARD CT
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2139
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Country | US
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Telephone | 434-484-2000
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Fax | 434-422-5517
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | HEATHER WHITNEY
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Credential | MA LPC
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Telephone | 434-484-2000
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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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