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General NPI Number Information
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NPI Number | 1245099639
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Entity Type | Organization
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Legal Business Name | CLINICAL COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 569 SNOWHILL RD
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City | NORTHAMPTON
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State | PA
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Zip | 18067-9159
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Country | US
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Telephone | 610-577-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 EAGLE CIR
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City | SLATINGTON
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State | PA
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Zip | 18080-3837
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Country | US
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Telephone | 610-577-5788
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARRY SCHEW
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Credential | MSW
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Telephone | 610-577-5788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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