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NPI 1932657566

NPI 1932657566 : GABRIELLA JANET F. G. KING M.S., LGPC : SILVER SPRING, MD

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General NPI Number Information
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    NPI Number           |    1932657566
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELLA JANET F. G. KING M.S., LGPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2016
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    Last Update Date     |    09/12/2016
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Provider Practice Location Address
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    Address Line         |    1400 SPRING ST SUITE 100
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20910-2735
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    Country              |    US
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    Telephone            |    301-589-2303
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    413 MONTGOMERY ST 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707-4201
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    Country              |    US
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    Telephone            |    301-498-4316
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    Fax                  |    301-498-4316
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    LGP7109
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    License Number State |    MD
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