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General NPI Number Information
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NPI Number | 1043585441
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Entity Type | Individual
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Provider Name | LISA R FURMAN ATR-BC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 66 STONE ST
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City | AUGUSTA
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State | ME
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Zip | 04330-5227
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Country | US
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Telephone | 207-626-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 31 CLARK POINT RD
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City | PROSPECT HARBOR
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State | ME
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Zip | 04669-7002
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Country | US
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Telephone | 203-241-0237
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Fax |
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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 | 002162
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License Number State | CT
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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 | CC7358
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License Number State | ME
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