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General NPI Number Information
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NPI Number | 1922634153
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Entity Type | Individual
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Provider Name | LINDSAY BOWLING LPC, LMHC, CSAC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 11166 FAIRFAX BLVD STE 207
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City | FAIRFAX
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State | VA
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Zip | 22030-5017
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Country | US
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Telephone | 703-865-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 ARROWHEAD DR STE 200
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City | FAIRFAX
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State | VA
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Zip | 22030-7322
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Country | US
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Telephone | 703-865-4900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0710102944
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License Number State | VA
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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 | 011888
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701006511
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License Number State | VA
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