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General NPI Number Information
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NPI Number | 1174708408
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Entity Type | Organization
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Legal Business Name | BURROWS MENTAL HEALTH COUNSELING INC
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Dates
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Enumeration Date | 01/06/2008
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Last Update Date | 01/06/2008
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Provider Practice Location Address
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Address Line | 30 HOLLEY ST
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City | WAKEFIELD
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State | RI
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Zip | 02879-3300
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Country | US
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Telephone | 401-284-0446
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Fax | 401-284-3236
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Provider Business Mailing Address
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Address Line | 22 RED FEATHER TRL S
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City | WAKEFIELD
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State | RI
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Zip | 02879-2044
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Country | US
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Telephone | 401-783-7542
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Fax | 401-284-3236
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBIN BURROWS
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Credential | M.A., LMHC, LCDS
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Telephone | 401-284-0446
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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 | MHC 00037
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License Number State | RI
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