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General NPI Number Information
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NPI Number | 1851809057
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Entity Type | Organization
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Legal Business Name | SALINAS CONSULTING & PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 4854 HAYGOOD RD STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5351
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Country | US
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Telephone | 757-705-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 4854 HAYGOOD RD STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5351
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Country | US
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Telephone | 757-705-1097
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA SALINAS RODRIGUEZ
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Credential | LPC
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Telephone | 757-705-1097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | S7092895
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License Number State | VA
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