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NPI 1205533759

NPI 1205533759 : CLEAR HORIZONS THERAPUTIC SOLUTIONS : SPARTA, NJ

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General NPI Number Information
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    NPI Number           |    1205533759
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR HORIZONS THERAPUTIC SOLUTIONS 
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Dates
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    Enumeration Date     |    02/14/2023
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    Last Update Date     |    02/14/2023
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Provider Practice Location Address
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    Address Line         |    328 SPARTA AVE 
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    City                 |    SPARTA
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    State                |    NJ
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    Zip                  |    07871
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    Country              |    US
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    Telephone            |    973-670-0031
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24 COTTAGE LN 
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    City                 |    SPARTA
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    State                |    NJ
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    Zip                  |    07871-4000
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROFESSIONAL COUNSELOR
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    Name                 |     ANTHONY  LOMBARDO 
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    Credential           |    
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    Telephone            |    973-670-0031
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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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