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General NPI Number Information
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NPI Number | 1649692443
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Entity Type | Organization
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Legal Business Name | SOISSON COUNSELING INC.
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 3409A URBANA PIKE 3RD FLOOR
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City | FREDERICK
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State | MD
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Zip | 21704-7772
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Country | US
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Telephone | 301-502-7015
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E WAINSCOT DR
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City | NEW MARKET
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State | MD
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Zip | 21774-6551
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Country | US
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Telephone | 301-502-7015
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANNA SOISSON SOISSON
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Credential | LCPC
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Telephone | 301-502-7015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SC0807
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC1275
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License Number State | MD
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