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General NPI Number Information
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NPI Number | 1770471583
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Entity Type | Organization
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Legal Business Name | APPALACHIAN COUNSELING SERVICES ONE,INC.
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1330 2ND ST
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City | RICHLANDS
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State | VA
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Zip | 24641-2453
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Country | US
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Telephone | 276-873-2577
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Fax | 276-598-4670
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Provider Business Mailing Address
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Address Line | 1330 2ND ST
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City | RICHLANDS
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State | VA
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Zip | 24641-2453
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Country | US
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Telephone | 276-873-2577
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Fax | 276-598-4670
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Authorized Official
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Title or Position | OWNER /DIRECTOR
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Name | KAREN L. BRADLEY JACKSON
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Credential | LPC, LSATP
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Telephone | 276-873-2577
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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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