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General NPI Number Information
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NPI Number | 1174683395
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN COUNSELING AND CHILD GUIDANCE INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 272 EAST CONNELLY BLVD.
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City | SHARON
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State | PA
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Zip | 16146
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Country | US
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Telephone | 724-983-1131
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Fax | 724-983-1387
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Provider Business Mailing Address
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Address Line | 272 EAST CONNELLY BLVD.
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City | SHARON
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State | PA
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Zip | 16146
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Country | US
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Telephone | 724-983-1131
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Fax | 724-983-1387
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SHAYEN GEORGE
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Credential | M.A. IN PSYCHOLOGY
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Telephone | 724-983-1131
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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 | 409240
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 409240
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 409240
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License Number State | PA
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