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General NPI Number Information
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NPI Number | 1023362670
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Entity Type | Organization
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Legal Business Name | RCG COUNSELING, LLC
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 2061 FAIRVIEW AVE SUITE C
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City | EASTON
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State | PA
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Zip | 18042-3953
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Country | US
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Telephone | 610-258-5000
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Fax | 610-258-5005
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Provider Business Mailing Address
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Address Line | 2061 FAIRVIEW AVE SUITE C
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City | EASTON
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State | PA
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Zip | 18042-3953
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Country | US
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Telephone | 610-258-5000
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Fax | 610-258-5005
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ROCHELLE REICHE
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Credential | LPC
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Telephone | 610-258-5000
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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 | PC006368
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License Number State | PA
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