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General NPI Number Information
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NPI Number | 1902134331
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Entity Type | Organization
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Legal Business Name | ASSOCIATED FAMILY AND GROUP COUNSELING
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 406 W FRANKLIN ST
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City | RICHMOND
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State | VA
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Zip | 23220-4906
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Country | US
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Telephone | 804-837-2805
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Fax | 804-282-0040
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Provider Business Mailing Address
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Address Line | 406 W FRANKLIN ST
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City | RICHMOND
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State | VA
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Zip | 23220-4906
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Country | US
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Telephone | 804-837-2805
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Fax | 804-282-0040
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY T LLOYD
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Credential | LCSW
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Telephone | 804-837-2805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904006248
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License Number State | VA
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