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General NPI Number Information
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NPI Number | 1982063590
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Entity Type | Organization
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Legal Business Name | CAISON COUNSELING AND CONSULTING GROUP LLC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2002 BREMO RD STE 204
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City | RICHMOND
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State | VA
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Zip | 23226-2441
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Country | US
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Telephone | 804-243-9062
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Fax |
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Provider Business Mailing Address
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Address Line | 13501 LAUGHTER CT
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City | CHESTER
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State | VA
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Zip | 23831-5218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMRA DUKE
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Credential | LPC
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Telephone | 804-243-9062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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