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General NPI Number Information
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NPI Number | 1801458864
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Entity Type | Organization
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Legal Business Name | MCCRADY COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 06/30/2019
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 1296 CRONSON BLVD UNIT 4511
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City | CROFTON
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State | MD
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Zip | 21114-7553
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Country | US
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Telephone | 410-403-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 1496 LOWELL CT
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City | CROFTON
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State | MD
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Zip | 21114-1105
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Country | US
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Telephone | 410-403-0230
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Fax |
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Authorized Official
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Title or Position | OWNER / LEAD THERAPIST
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Name | MRS. JOY LYNN MCCRADY
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Credential | LCPC
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Telephone | 410-403-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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