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General NPI Number Information
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NPI Number | 1013683259
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Entity Type | Organization
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Legal Business Name | STRONG TOWER MENTAL HEALTH COUNSELING OF NEW YORK, PLLC
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 160 NORTHAVEN TER
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City | ROCHESTER
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State | NY
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Zip | 14621-5518
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Country | US
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Telephone | 631-835-5864
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Fax |
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Provider Business Mailing Address
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Address Line | 160 NORTHAVEN TER
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City | ROCHESTER
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State | NY
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Zip | 14621-5518
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Country | US
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Telephone | 631-835-5864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA IRENE WEST
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Credential | LMHC
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Telephone | 631-835-5864
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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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