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General NPI Number Information
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NPI Number | 1750790796
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Entity Type | Organization
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Legal Business Name | LIVING ANEW COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 9137 CHAMBERLAYNE RD SUITE 102
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2534
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Country | US
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Telephone | 804-467-1488
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Fax | 804-277-8354
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Provider Business Mailing Address
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Address Line | 9137 CHAMBERLAYNE RD SUITE 102
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2534
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Country | US
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Telephone | 804-467-1488
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Fax | 804-277-8354
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. APRIL CARRINGTON ST. JOHN
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Credential | MA, LPC, LMFT
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Telephone | 804-467-1488
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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 | 0701005834
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001316
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License Number State | VA
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