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General NPI Number Information
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NPI Number | 1871293738
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Entity Type | Organization
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Legal Business Name | GC COUNSELING CENTER LLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 20145 ASHBROOK PL STE 180
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City | ASHBURN
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State | VA
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Zip | 20147-3373
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Country | US
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Telephone | 703-982-0928
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Fax |
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Provider Business Mailing Address
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Address Line | 1390 CHAIN BRIDGE RD # 284
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City | MC LEAN
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State | VA
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Zip | 22101-3904
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Country | US
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Telephone | 703-982-0928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRACE CHEN
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Credential | LCSW
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Telephone | 703-982-0928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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