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General NPI Number Information
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NPI Number | 1861139123
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Entity Type | Organization
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Legal Business Name | ASPIRE COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 3901 LAUSANNE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4511
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Country | US
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Telephone | 443-529-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 LAUSANNE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4511
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Country | US
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Telephone | 443-529-8108
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHANA JOHNSON
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Credential | LCPC, NCC
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Telephone | 443-529-8108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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