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General NPI Number Information
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NPI Number | 1790505147
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Entity Type | Individual
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Provider Name | KARISSA MCANELLY
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Gender | Female
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 20755 WILLIAMSPORT PL STE 390
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City | ASHBURN
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State | VA
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Zip | 20147-6523
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Country | US
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Telephone | 757-358-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 VILLAGE LN
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City | SILVER SPRING
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State | MD
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Zip | 20906-2334
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Country | US
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Telephone | 757-358-6986
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Fax |
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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 | 0704016753
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License Number State | VA
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