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General NPI Number Information
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NPI Number | 1043029085
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Entity Type | Organization
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Legal Business Name | I CARE MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2 GUY PARK AVE
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City | AMSTERDAM
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State | NY
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Zip | 12010-4157
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Country | US
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Telephone | 518-224-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 59 BROADWAY EXT
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City | AMSTERDAM
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State | NY
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Zip | 12010-8101
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Country | US
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Telephone | 518-224-2505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUBREY ROSE PAGAN
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Credential | LMHC
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Telephone | 518-224-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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