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General NPI Number Information
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NPI Number | 1134079874
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Entity Type | Organization
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Legal Business Name | RESONANCE COLLECTIVE COUNSELING, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 98 WHITFORD ST
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City | BOSTON
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State | MA
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Zip | 02131-4231
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Country | US
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Telephone | 617-831-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 98 WHITFORD ST
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City | BOSTON
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State | MA
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Zip | 02131-4231
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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 | CO-OWNER
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Name | NICOLE FREDERICK
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Credential | LMHC
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Telephone | 617-831-5584
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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