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General NPI Number Information
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NPI Number | 1053003277
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Entity Type | Organization
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Legal Business Name | RESTORING LIGHT COUNSELING
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 147 WHISKEY SPRINGS RD
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City | DILLSBURG
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State | PA
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Zip | 17019-9712
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Country | US
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Telephone | 330-540-6491
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Fax |
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Provider Business Mailing Address
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Address Line | 147 WHISKEY SPRINGS RD
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City | DILLSBURG
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State | PA
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Zip | 17019-9712
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Country | US
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Telephone | 330-540-6491
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | PAULA HOFFMAN
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Credential | LPC
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Telephone | 330-540-6491
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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 |
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License Number State |
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