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General NPI Number Information
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NPI Number | 1154511178
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Entity Type | Organization
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Legal Business Name | HUNTINGTON COUNSELING CENTER INC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 240 SOUNDVIEW ROAD
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City | HUNTINGTON
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State | NY
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Zip | 11743
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Country | US
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Telephone | 631-673-8594
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Fax | 631-673-8594
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Provider Business Mailing Address
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Address Line | 240 SOUNDVIEW ROAD
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City | HUNTINGTON
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State | NY
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Zip | 11743
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Country | US
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Telephone | 631-673-8594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JOAN J STANWOOD
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Credential | LCSW
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Telephone | 631-673-8594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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