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General NPI Number Information
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NPI Number | 1124758180
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Entity Type | Organization
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Legal Business Name | EMPOWERED HEALING COUNSELING, PLLC
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1045 ELM ST STE 401
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City | MANCHESTER
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State | NH
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Zip | 03101-1824
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Country | US
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Telephone | 603-505-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 7 DUSTON RIDGE RD
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City | HAMPSTEAD
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State | NH
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Zip | 03841-2165
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA JOYAL
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Credential | LICSW
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Telephone | 603-505-4742
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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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