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General NPI Number Information
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NPI Number | 1821632142
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Entity Type | Organization
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Legal Business Name | VALERIE WOOLFORD INDIVIDUAL & COUPLES COUNSELING, LLC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 140 THE LAKES BLVD STE G3
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City | KINGSLAND
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State | GA
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Zip | 31548-5667
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Country | US
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Telephone | 856-889-2519
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54065
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City | JACKSONVILLE
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State | FL
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Zip | 32245-4065
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | VALERIE WOOLFORD
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Credential |
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Telephone | 856-889-2519
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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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