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General NPI Number Information
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NPI Number | 1174258362
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Entity Type | Organization
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Legal Business Name | 1ST STEP MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 1525 WESTERN AVE STE 1
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City | ALBANY
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State | NY
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Zip | 12203-3537
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Country | US
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Telephone | 518-629-5409
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Fax | 518-900-1568
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Provider Business Mailing Address
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Address Line | 1525 WESTERN AVE STE 4
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City | ALBANY
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State | NY
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Zip | 12203-3537
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Country | US
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Telephone | 518-629-5409
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TANYA HENDERSON
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Credential | LMHC
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Telephone | 518-629-5409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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