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General NPI Number Information
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NPI Number | 1083358386
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Entity Type | Organization
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Legal Business Name | COUNSELING ASSOCIATES OF DELAWARE
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 100 W ROCKLAND RD STE K-1
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City | MONTCHANIN
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State | DE
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Zip | 19710-2006
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Country | US
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Telephone | 302-750-0672
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PASCHALL RD
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City | WILMINGTON
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State | DE
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Zip | 19803-4944
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Country | US
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Telephone | 302-750-0672
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | MS. AMY E. CARELLO
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Credential | LPCMH
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Telephone | 302-750-0672
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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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