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General NPI Number Information
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NPI Number | 1811766421
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Entity Type | Organization
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Legal Business Name | COUNSELING CONSTRUCTS LLC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 815 RITCHIE HWY STE 210
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4164
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Country | US
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Telephone | 443-472-1048
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 WEATHER WORN WAY UNIT A
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City | COLUMBIA
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State | MD
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Zip | 21046-1490
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Country | US
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Telephone | 443-472-1048
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | BARBARA J BORSI
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Credential | LCPC
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Telephone | 443-472-1048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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