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General NPI Number Information
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NPI Number | 1275092777
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Entity Type | Organization
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Legal Business Name | EMPOWER COUNSELING AND THERAPY, PLLC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 12 CASE ST STE 201
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City | NORWICH
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State | CT
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Zip | 06360-2222
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Country | US
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Telephone | 860-710-8815
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Fax | 860-464-2806
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Provider Business Mailing Address
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Address Line | 24 QUEEN ELEANOR DR
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City | GALES FERRY
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State | CT
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Zip | 06335-1315
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Country | US
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Telephone | 860-710-8815
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Fax | 860-464-2806
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CYNTHIA LOU MASON-JONES
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Credential | LCSW
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Telephone | 860-710-8815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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