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General NPI Number Information
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NPI Number | 1902798507
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Entity Type | Organization
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Legal Business Name | LONG VALLEY COUNSELING GROUP LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1179 LONG VALLEY RD
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City | WESTMINSTER
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State | MD
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Zip | 21158-4147
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Country | US
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Telephone | 443-340-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 1179 LONG VALLEY RD
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City | WESTMINSTER
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State | MD
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Zip | 21158-4147
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Country | US
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Telephone | 443-340-3776
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Fax |
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Authorized Official
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Title or Position | OWNER - CLINICAL PSYCHO-THERAPIST
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Name | JOAN MARIE MCINERNEY
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Credential | MD 12090
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Telephone | 443-340-3776
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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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