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NPI Code Detail

MEDICARE: MS. STEPHANIE LYNN DAULEY LPC

MEDICARE: MS. STEPHANIE LYNN DAULEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701004165VA

General Provider Information

NPI Number : 1023277332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE LYNN DAULEY LPC
Provider Business Mailing Address
First Line : 1241 MALL DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-4879
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1241 MALL DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-4879
Country : US
Telephone Number : 804-467-4309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 06/18/2011

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