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General NPI Number Information
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NPI Number | 1013927581
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Entity Type | Individual
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Provider Name | ALICE E. SWEET FAATZ ATR, LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 17 E GENESEE ST
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City | AUBURN
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State | NY
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Zip | 13021-4040
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Country | US
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Telephone | 315-253-9795
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Fax | 315-253-3255
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Provider Business Mailing Address
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Address Line | 70 SOUTH ST
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City | PORT BYRON
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State | NY
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Zip | 13140-3203
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Country | US
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Telephone | 315-776-8780
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Fax | 315-776-8780
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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 | 001990-1
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License Number State | NY
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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 | 10359
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License Number State | TX
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