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General NPI Number Information
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NPI Number | 1730485145
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Entity Type | Individual
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Provider Name | VALENCIA LETITIA SMALLWOOD LPC, CSAC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 6100 MOONLIGHT DR
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City | RICHMOND
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State | VA
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Zip | 23234-4913
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Country | US
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Telephone | 804-334-3660
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Fax | 804-271-7035
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Provider Business Mailing Address
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Address Line | PO BOX 37486
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City | RICHMOND
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State | VA
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Zip | 23234-7486
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Country | US
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Telephone | 804-334-3660
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Fax | 804-271-7035
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0710101783
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004976
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License Number State | VA
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