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General NPI Number Information
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NPI Number | 1649315847
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Entity Type | Organization
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Legal Business Name | TRI CITIES COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3660 BOULEVARD SUITEC
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1345
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Country | US
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Telephone | 804-526-5335
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Fax | 804-526-5337
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Provider Business Mailing Address
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Address Line | 3660 BOULEVARD SUITEC
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1345
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Country | US
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Telephone | 804-526-5335
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Fax | 804-526-5337
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE C RIGGS
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Credential | LCSW
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Telephone | 804-526-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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