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General NPI Number Information
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NPI Number | 1255562716
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Entity Type | Individual
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Provider Name | CARRIE LOUISE LISZEWSKI-GODOWN MA LPC LCADC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 204 MORRIS BLVD
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-4209
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Country | US
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Telephone | 609-978-2269
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Fax | 609-978-2269
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Provider Business Mailing Address
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Address Line | 204 MORRIS BLVD
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-4209
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Country | US
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Telephone | 609-978-2269
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Fax | 609-978-2269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 37PC00371600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00157700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00371600
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License Number State | NJ
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