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General NPI Number Information
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NPI Number | 1699396747
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Entity Type | Organization
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Legal Business Name | ALBEMARLE COUNSELING CENTER
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 1223 3RD ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4611
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Country | US
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Telephone | 540-342-3848
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Fax | 540-342-2148
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Provider Business Mailing Address
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Address Line | 1223 3RD ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4611
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Country | US
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Telephone | 540-342-3848
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Fax | 540-342-2148
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARTHA ALLMAN ALLMAN
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Credential | LPC
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Telephone | 540-342-3848
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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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