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General NPI Number Information
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NPI Number | 1225909575
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Entity Type | Organization
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Legal Business Name | EXPERIENCE HEALING COUNSELING SERVICES
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 36 COUNTRY CLUB RD UNIT 924
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City | GILFORD
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State | NH
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Zip | 03249-6978
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Country | US
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Telephone | 603-614-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 58 BRECKENRIDGE WAY UNIT 26
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City | LACONIA
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State | NH
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Zip | 03246-4027
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Country | US
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Telephone | 603-455-6064
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNA ROGATO
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Credential |
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Telephone | 603-614-6008
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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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