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General NPI Number Information
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NPI Number | 1831831874
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Entity Type | Individual
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Provider Name | ANASTASIA ELLEN WILLIAMS LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 609 H ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-7184
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Country | US
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Telephone | 833-401-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 609 H ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-7184
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Country | US
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Telephone | 833-401-1577
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC14012
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | LGP11796
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License Number State | MD
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