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General NPI Number Information
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NPI Number | 1811750979
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Entity Type | Organization
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Legal Business Name | RIECK COUNSELING, PLLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 15D LOUDOUN ST SW
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City | LEESBURG
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State | VA
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Zip | 20175-2908
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Country | US
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Telephone | 571-206-0837
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Fax |
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Provider Business Mailing Address
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Address Line | 192 MOSAIC CT
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City | STEPHENSON
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State | VA
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Zip | 22656-1895
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYLA RIECK
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Credential | LCSW
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Telephone | 619-729-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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