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General NPI Number Information
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NPI Number | 1720882103
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Entity Type | Organization
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Legal Business Name | AUTHENTIC HOPE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 503 SOPHIA ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-6075
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Country | US
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Telephone | 703-474-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 21 LUDINGTON LN
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-5461
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Country | US
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Telephone | 703-474-1933
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DR. JENNIFER LEE VAUGHAN
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Credential | ED.D.
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Telephone | 703-474-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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