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General NPI Number Information
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NPI Number | 1154139962
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Entity Type | Organization
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Legal Business Name | FINDING FREEDOM COUNSELING & YOGA LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 82 COLUMBIA ST. SUITE 303
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City | BANGOR
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State | ME
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Zip | 04401
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Country | US
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Telephone | 401-236-7157
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PACKARD DR
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City | BANGOR
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State | ME
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Zip | 04401
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Country | US
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Telephone | 207-944-3846
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA PERRY SINCLAIR
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Credential | LCSW
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Telephone | 207-944-3846
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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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