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General NPI Number Information
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NPI Number | 1083256861
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Entity Type | Organization
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Legal Business Name | LIFETIME IMPROVEMENT COUNSELING
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Dates
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Enumeration Date | 10/12/2019
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 211 PHILLIP MORRIS DR
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City | SALISBURY
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State | MD
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Zip | 21804-1923
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Country | US
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Telephone | 443-783-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 1147 S SALISBURY BLVD STE 8
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City | SALISBURY
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State | MD
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Zip | 21801-6865
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Country | US
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Telephone | 410-251-6371
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | SEAN JUDE ALVARADO
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Credential |
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Telephone | 443-783-5225
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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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