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General NPI Number Information
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NPI Number | 1669852026
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Entity Type | Organization
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Legal Business Name | TRANSITIONS...THE PROCESS OF CHANGE
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 8280 WILLOW OAKS CORPORATE DR SUITE 600
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City | FAIRFAX
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State | VA
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Zip | 22031-4518
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Country | US
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Telephone | 703-862-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 14001C SAINT GERMAIN DR # 230 #230
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City | CENTREVILLE
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State | VA
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Zip | 20121-2338
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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 | OWNER
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Name | RACQUEL SEMERARO
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Credential | LCSW
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Telephone | 703-862-3762
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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 | 0710101724
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904008497
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License Number State | VA
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