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General NPI Number Information
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NPI Number | 1134837123
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Entity Type | Individual
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Provider Name | SARAH KELLIHER MCCANN LMHC, LPC, NCC, MSED
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 415 SOUTH ST # MS 061
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City | WALTHAM
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State | MA
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Zip | 02453-2700
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Country | US
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Telephone | 781-736-7720
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Fax |
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Provider Business Mailing Address
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Address Line | 415 SOUTH ST # MS 061
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City | WALTHAM
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State | MA
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Zip | 02453-2700
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Country | US
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Telephone | 781-736-7720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC009144
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10000253
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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