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General NPI Number Information
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NPI Number | 1982170346
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Entity Type | Organization
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Legal Business Name | RESILIENCE PROFESSIONAL COUNSELING, LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 1403 GREENBRIER PKWY STE 150
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0624
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Country | US
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Telephone | 757-288-6274
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Fax | 855-421-1800
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Provider Business Mailing Address
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Address Line | 2116 HICKORY FOREST DR
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City | CHESAPEAKE
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State | VA
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Zip | 23322-1758
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Country | US
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Telephone | 757-288-6274
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Fax | 855-421-1800
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. MARY DURKIN
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Credential | LPC
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Telephone | 757-288-6274
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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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