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General NPI Number Information
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NPI Number | 1033965611
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Entity Type | Organization
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Legal Business Name | ASPIRE COUNSELING BY MARY TESTA INC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 95 ALLENS CREEK ROAD BLDG 1, STE 116
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City | ROCHESTER
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State | NY
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Zip | 14618-3250
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Country | US
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Telephone | 585-234-0440
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Fax | 585-624-9389
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Provider Business Mailing Address
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Address Line | 323 PARRISH ROAD
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City | HONEOYE FALLS
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State | NY
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Zip | 14472-9715
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Country | US
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Telephone | 585-234-0440
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Fax | 585-324-9389
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR/OW
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Name | MARY L TESTA
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Credential | LMHC
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Telephone | 585-234-0440
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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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