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General NPI Number Information
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NPI Number | 1972396737
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Entity Type | Organization
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Legal Business Name | IMPACT COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 155 DEER RUN RD
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City | DANVILLE
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State | VA
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Zip | 24540-2863
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Country | US
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Telephone | 434-709-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 528 RIVER OAK DR
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City | DANVILLE
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State | VA
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Zip | 24541-5820
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Country | US
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Telephone | 434-709-1984
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Fax | 434-709-1984
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Authorized Official
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Title or Position | CEO/OWNER
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Name | VERONICA ONSUREZ-PANNELL
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Credential | LPC
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Telephone | 434-709-1984
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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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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