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General NPI Number Information
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NPI Number | 1265878409
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Entity Type | Organization
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Legal Business Name | KAREN'S COUNSELING
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 18 MAIN ST
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City | BOWMANSVILLE
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State | NY
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Zip | 14026-1023
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Country | US
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Telephone | 171-690-1276
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MAIN ST
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City | BOWMANSVILLE
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State | NY
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Zip | 14026-1023
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Country | US
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Telephone | 171-690-1276
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MRS. KAREN JEAN MACDAVID
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Credential | LMHC,CASAC
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Telephone | 17169012762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 004186
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 004189
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 004189
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License Number State | NY
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