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General NPI Number Information
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NPI Number | 1831789684
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Entity Type | Organization
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Legal Business Name | SCHAFER CONSORTIUM OF COUNSELING & WELLNESS CENTER
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 14301 GRANERY LN
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City | ACCOKEEK
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State | MD
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Zip | 20607-3755
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Country | US
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Telephone | 202-309-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 14301 GRANERY LN
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City | ACCOKEEK
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State | MD
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Zip | 20607-3755
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Country | US
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Telephone | 202-309-1990
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KAREN ANDREA SCHAFER
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Credential | PSY.D; LCPC
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Telephone | 202-309-1990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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