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General NPI Number Information
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NPI Number | 1174400600
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Entity Type | Organization
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Legal Business Name | ANCHORED GRACE COUNSELING
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 103 N GILPIN ST STE 310
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2055
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Country | US
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Telephone | 814-952-5766
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N GILPIN ST STE 310
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2055
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Country | US
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Telephone | 814-952-5766
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. MELISSA ANN COCHRAN
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Credential | MS, NCC, LPC
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Telephone | 814-618-6082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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