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General NPI Number Information
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NPI Number | 1225433428
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Entity Type | Organization
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Legal Business Name | ENGAGE COUNSELING, LLC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 118 PROSPECT ST SUITE 2
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-4473
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Country | US
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Telephone | 973-440-9284
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 361
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City | CEDAR GROVE
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State | NJ
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Zip | 07009-0361
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Country | US
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Telephone | 973-440-9284
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/COUNSELOR
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Name | RADHARANI COLLINS
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Credential | LPC
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Telephone | 973-440-9284
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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 | 37PC00472000
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License Number State | NJ
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