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General NPI Number Information
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NPI Number | 1245059757
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Entity Type | Organization
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Legal Business Name | PIVOTAL COUNSELING PLLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 36 COUNTRY CLUB RD UNIT 926
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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 | 603-470-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 285 STONE RD
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City | GILMANTON IRON WORKS
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State | NH
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Zip | 03837-5717
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Country | US
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Telephone | 603-470-7700
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | ANGELA JUURLINK
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Credential | LCMHC
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Telephone | 603-470-7700
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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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