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General NPI Number Information
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NPI Number | 1760614226
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Entity Type | Individual
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Provider Name | JOUMANA ELKHANSA LPC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 313 MACCORKLE AVE SW
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-1205
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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Provider Business Mailing Address
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Address Line | 99 CRACKER BARREL DR STE 100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1650
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1853
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License Number State | WV
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