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General NPI Number Information
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NPI Number | 1245834159
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Entity Type | Organization
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Legal Business Name | BRIAN TOBIN, LCMHC, LLC
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 291 BOSTWICK FARM ROAD
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City | SHELBURNE
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State | VT
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Zip | 05482
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Country | US
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Telephone | 802-332-5566
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 584
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City | HINESBURG
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State | VT
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Zip | 05461-0584
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Country | US
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Telephone | 802-249-5896
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Fax |
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Authorized Official
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Title or Position | MEMBER-
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Name | BRIAN TOBIN
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Credential | LCMHC
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Telephone | 802-249-5896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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