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General NPI Number Information
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NPI Number | 1770060717
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Entity Type | Organization
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Legal Business Name | ACROSS COUNSELING LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 501 CHURCH ST NE STE 207
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City | VIENNA
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State | VA
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Zip | 22180-4734
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Country | US
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Telephone | 703-389-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CHURCH ST NE STE 207
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City | VIENNA
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State | VA
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Zip | 22180-4734
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Country | US
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Telephone | 703-989-6640
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAYNE RUSHIN
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Credential |
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Telephone | 703-593-1106
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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