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General NPI Number Information
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NPI Number | 1043015274
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Entity Type | Organization
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Legal Business Name | ANEW COUNSELING
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 692 ELM ST
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City | DERBY LINE
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State | VT
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Zip | 05830-8730
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Country | US
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Telephone | 802-673-8430
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Fax |
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Provider Business Mailing Address
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Address Line | 692 ELM ST
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City | DERBY LINE
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State | VT
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Zip | 05830-8730
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Country | US
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Telephone | 802-673-8430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE ANNE CLARK
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Credential | LCMHC
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Telephone | 802-673-8430
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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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