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General NPI Number Information
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NPI Number | 1154998664
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Entity Type | Organization
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Legal Business Name | CTG COUNSELING SERVICES
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1871 ACUSHNET AVE
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City | NEW BEDFORD
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State | MA
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Zip | 02746
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Country | US
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Telephone | 508-496-8598
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Fax | 774-206-1462
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Provider Business Mailing Address
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Address Line | 16 SCONTICUT NECK RD STE 289
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City | FAIRHAVEN
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State | MA
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Zip | 02719-1914
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Country | US
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Telephone | 508-496-8598
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Fax | 774-206-1462
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Authorized Official
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Title or Position | OWNER LEAD THERAPIST
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Name | CHRISTOPHER THOMAS GARRIGA
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Credential | LMHC
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Telephone | 774-203-9471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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