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General NPI Number Information
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NPI Number | 1134887276
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Entity Type | Organization
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Legal Business Name | CREATING CONSCIOUS CHOICES COUNSELING
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 27 SIEMON COMPANY DR STE 238W
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City | WATERTOWN
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State | CT
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Zip | 06795-2654
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Country | US
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Telephone | 860-480-3124
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Fax |
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Provider Business Mailing Address
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Address Line | 28 ALDER ST
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City | TORRINGTON
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State | CT
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Zip | 06790-5541
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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 | MARY HOF
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Credential |
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Telephone | 860-480-3124
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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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