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General NPI Number Information
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NPI Number | 1861108946
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Entity Type | Organization
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Legal Business Name | ASA COUNSELING LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 248 MANASSAS DR
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City | MANASSAS PARK
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State | VA
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Zip | 20111-2032
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Country | US
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Telephone | 209-914-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 9890 LIBERIA AVE # 1065
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City | MANASSAS
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State | VA
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Zip | 20110-5836
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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 | OWNER/THERAPIST
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Name | LARA OSTAPIEJ
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Credential |
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Telephone | 757-231-7826
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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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