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General NPI Number Information
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NPI Number | 1679287544
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Entity Type | Organization
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Legal Business Name | COUNSELING & CONSULTATION SERVICES, LLC
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 3712 OLD FOREST RD STE 400
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City | LYNCHBURG
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State | VA
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Zip | 24501-6959
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Country | US
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Telephone | 434-515-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1062 VALOR CT
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City | FOREST
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State | VA
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Zip | 24551-2509
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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 & DIRECTOR
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Name | DR. NICOLE DILELLA
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Credential | PHD, LPC
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Telephone | 609-204-8830
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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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