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General NPI Number Information
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NPI Number | 1942076450
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Entity Type | Individual
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Provider Name | ASHLEY JEREDA
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Gender | Female
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 10455 WHITE GRANITE DR STE 400
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City | OAKTON
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State | VA
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Zip | 22124-2764
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Country | US
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Telephone | 703-508-2928
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CENTURY PL APT 1217
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7504
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Country | US
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Telephone | 954-661-9133
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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