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General NPI Number Information
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NPI Number | 1841932779
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Entity Type | Organization
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Legal Business Name | VALLEY COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 3382 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-8604
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Country | US
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Telephone | 681-235-2169
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Fax | 681-235-2126
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | HURRICANE
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State | WV
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Zip | 25526-0069
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Country | US
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Telephone | 681-235-2169
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Fax | 681-235-2126
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Authorized Official
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Title or Position | OWNER, LPC
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Name | DR. SHELLEY COLEMAN
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Credential | LPC, PHD
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Telephone | 304-881-9343
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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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