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General NPI Number Information
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NPI Number | 1114214673
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Entity Type | Organization
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Legal Business Name | RANCOURT COUNSELING, LLC
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 41 S MAIN ST
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City | NEW MILFORD
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State | CT
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Zip | 06776-3507
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Country | US
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Telephone | 860-740-2228
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Fax | 860-254-7256
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Provider Business Mailing Address
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Address Line | 41 S MAIN ST
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City | NEW MILFORD
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State | CT
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Zip | 06776-3507
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Country | US
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Telephone | 860-740-2228
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Fax | 860-254-7256
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA GLORIA WADE-RANCOURT
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Credential |
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Telephone | 860-740-2228
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 005773
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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