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General NPI Number Information
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NPI Number | 1104701226
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Entity Type | Organization
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Legal Business Name | SAUGERTIES MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 273 HURLEY AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2421
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Country | US
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Telephone | 845-207-5451
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Fax | 845-244-5346
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | MALDEN ON HUDSON
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State | NY
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Zip | 12453-0089
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Country | US
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Telephone | 845-207-5451
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Fax | 845-244-5346
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT MICHAEL DIETRICH
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Credential | LMHC
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Telephone | 845-207-5451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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