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General NPI Number Information
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NPI Number | 1811748338
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Entity Type | Organization
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Legal Business Name | J. HAM COUNSELING
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 2815 PRESTON PARK WAY
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City | SANDY HOOK
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State | VA
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Zip | 23153-2265
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Country | US
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Telephone | 804-449-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 2972 RIVER ROAD W P.O. BOX 1090
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City | GOOCHLAND
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State | VA
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Zip | 23063
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Country | US
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Telephone | 804-449-7376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNA HAM
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Credential | LPC, CSAC
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Telephone | 804-449-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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