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General NPI Number Information
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NPI Number | 1104799956
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Entity Type | Organization
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Legal Business Name | INTRINSIC EMPOWERMENT COUNSELING
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 26 WAVERLY DR APT S
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City | STROUDSBURG
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State | PA
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Zip | 18360-1434
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Country | US
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Telephone | 570-684-6033
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Fax | 570-243-6458
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Provider Business Mailing Address
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Address Line | 221 SKYLINE DR
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-1352
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Country | US
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Telephone | 570-684-6033
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Fax | 570-243-6458
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KATHERINE MOORE
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Credential | LCSW
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Telephone | 862-754-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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