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General NPI Number Information
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NPI Number | 1821870270
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Entity Type | Organization
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Legal Business Name | MONARCH COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 10340 DEMOCRACY LN STE 104
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City | FAIRFAX
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State | VA
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Zip | 22030-2518
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Country | US
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Telephone | 540-903-1888
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Fax | 540-657-3667
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Provider Business Mailing Address
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Address Line | 8980 FASCINATION CT APT 415
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City | LORTON
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State | VA
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Zip | 22079-5717
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Country | US
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Telephone | 540-903-1888
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Fax | 540-657-3667
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Authorized Official
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Title or Position | OWNER
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Name | MARCELLA M RUMMEL
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Credential | LMFT
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Telephone | 540-903-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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