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General NPI Number Information
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NPI Number | 1942012133
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Entity Type | Organization
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Legal Business Name | PURSUIT OF PURPOSE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1304 LAVENDER LN
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City | BELCAMP
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State | MD
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Zip | 21017-1686
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Country | US
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Telephone | 443-990-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 5835 YORK RD # 1248
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City | BALTIMORE
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State | MD
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Zip | 21212-3612
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Country | US
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Telephone | 443-990-1345
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER/PSYCOTHERAPIST
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Name | NAZLAH JOHNSON-GUNTHROP
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Credential | LCPC, NCC
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Telephone | 443-990-1345
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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