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General NPI Number Information
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NPI Number | 1689497927
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Entity Type | Organization
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Legal Business Name | COUNSELING SOLUTIONS
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 200 COUNTRY CLUB DR SW STE A2
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City | BLACKSBURG
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State | VA
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Zip | 24060-5400
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Country | US
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Telephone | 540-212-4130
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Fax | 540-613-1115
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Provider Business Mailing Address
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Address Line | 200 COUNTRY CLUB DR SW STE A2
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City | BLACKSBURG
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State | VA
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Zip | 24060-5400
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Country | US
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Telephone | 540-212-4130
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Fax | 540-613-1115
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | LISA Z GOATLEY
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Credential | LPC
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Telephone | 540-212-4130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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