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General NPI Number Information
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NPI Number | 1053101881
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Entity Type | Organization
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Legal Business Name | WILLOWBEAR COUNSELING LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 109 GATEWAY AVE STE 201
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City | WEXFORD
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State | PA
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Zip | 15090-8471
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Country | US
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Telephone | 412-589-9897
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Fax | 877-703-2983
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Provider Business Mailing Address
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Address Line | 109 GATEWAY AVE STE 201
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City | WEXFORD
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State | PA
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Zip | 15090-8471
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Country | US
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Telephone | 412-589-9897
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Fax | 877-703-2983
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Authorized Official
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Title or Position | OWNER
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Name | ERIN HARPER
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Credential | LPC
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Telephone | 724-612-2395
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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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