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General NPI Number Information
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NPI Number | 1003139262
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Entity Type | Individual
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Provider Name | KATHY DIFRAIA M.ED., LMHC, CCTP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 4 WATER ST STE 4
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City | AMESBURY
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State | MA
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Zip | 01913-2937
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Country | US
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Telephone | 978-992-8257
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Fax |
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Provider Business Mailing Address
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Address Line | 4 - 6 WATER STREET #4
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City | AMESBURY
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State | MA
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Zip | 01913
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Country | US
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Telephone | 978-992-8257
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Fax | 978-792-5568
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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