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General NPI Number Information
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NPI Number | 1174532501
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE SOCIAL-PSYCHOLOGICAL SERVICES, P.A.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2 S SPRING ST
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City | CONCORD
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State | NH
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Zip | 03301-2424
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Country | US
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Telephone | 603-226-3757
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Fax | 602-336-3757
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Provider Business Mailing Address
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Address Line | 2 S SPRING ST
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City | CONCORD
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State | NH
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Zip | 03301-2424
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Country | US
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Telephone | 603-226-3757
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Fax | 602-336-3757
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Authorized Official
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Title or Position | THERAPIST/CONSULTANT
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Name | DR. KIT PRISCILLANN DEVRIES
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Credential | PH.D.
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Telephone | 603-224-5513
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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 | 604
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License Number State | NH
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