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General NPI Number Information
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NPI Number | 1831871706
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Entity Type | Organization
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Legal Business Name | RESTORATION COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 722 E MARKET ST
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City | LEESBURG
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State | VA
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Zip | 20176-3255
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Country | US
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Telephone | 703-943-0809
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Fax |
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Provider Business Mailing Address
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Address Line | 722 E MARKET ST
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City | LEESBURG
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State | VA
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Zip | 20176-3255
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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 | FOUNDER
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Name | MARJORIE ELIZABETH DAVIS
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Credential | LPC
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Telephone | 703-507-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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