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General NPI Number Information
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NPI Number | 1215348024
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Entity Type | Organization
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Legal Business Name | COUNSELING FOR TOTAL WELL-BEING, LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 705 GINESI DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1235
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Country | US
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Telephone | 732-598-6781
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Fax | 732-879-0241
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Provider Business Mailing Address
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Address Line | 48 STONY HILL DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1179
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Country | US
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Telephone | 732-598-6781
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Fax | 732-879-0241
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | GERALYN RAFAT
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Credential | MA, LPC, NCC
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Telephone | 732-598-6781
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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 | 37PC00455800
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License Number State | NJ
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