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General NPI Number Information
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NPI Number | 1003270265
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Entity Type | Individual
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Provider Name | ROSA MARIA MCKOY LPC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 33 THIRD ST STE 101
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1369
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Country | US
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Telephone | 609-865-2670
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Fax |
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Provider Business Mailing Address
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Address Line | 204 ARK RD STE 208L
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3190
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Country | US
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Telephone | 609-721-3068
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Fax |
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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 | 37AC00204900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00714400
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License Number State | NJ
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