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General NPI Number Information
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NPI Number | 1053080515
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Entity Type | Individual
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Provider Name | LORI ANNE HEBERLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 61 KRESSON RD FL 2
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3228
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Country | US
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Telephone | 856-429-3494
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Fax | 856-229-7683
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Provider Business Mailing Address
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Address Line | 61 KRESSON RD FL 2
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3228
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Country | US
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Telephone | 856-429-3494
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Fax | 856-229-7683
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00025400
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License Number State | NJ
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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 | 37PC00025400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00025400
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License Number State | NJ
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