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General NPI Number Information
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NPI Number | 1184341851
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Entity Type | Organization
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Legal Business Name | MATTHEW TANSEY COUNSELING, PLC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 28 ELM ST UNIT 3
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City | MONTPELIER
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State | VT
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Zip | 05602-2814
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Country | US
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Telephone | 978-290-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 28 ELM ST UNIT 3
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City | MONTPELIER
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State | VT
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Zip | 05602-2814
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Country | US
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Telephone | 978-290-3046
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MATTHEW TANSEY
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Credential | LCMHC
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Telephone | 978-290-3046
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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 |
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License Number State |
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