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General NPI Number Information
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NPI Number | 1154194447
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Entity Type | Organization
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Legal Business Name | BLUE WHALE COUNSELING AND CENTER FOR HEALING
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 11 SCHOONER DR
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City | MYSTIC
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State | CT
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Zip | 06355-1913
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Country | US
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Telephone | 860-615-9652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | MYSTIC
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State | CT
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Zip | 06355-0004
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Country | US
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Telephone | 917-573-2660
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER TARA COHEN
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Credential | LCSW
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Telephone | 860-615-9652
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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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