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General NPI Number Information
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NPI Number | 1962163873
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Entity Type | Organization
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Legal Business Name | CONFLUENCE COUNSELING, LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 1125 LUKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5617
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Country | US
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Telephone | 864-421-3938
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Fax | 757-799-4570
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Provider Business Mailing Address
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Address Line | 1125 LUKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5617
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Country | US
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Telephone | 864-421-3938
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARIS ANTHONY STAVRIANOS
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Credential | LPC
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Telephone | 757-337-1482
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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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