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NPI 1285101584

NPI 1285101584 : ANCHORED HOPE COUNSELING : NORWICH, CT

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General NPI Number Information
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    NPI Number           |    1285101584
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANCHORED HOPE COUNSELING 
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Dates
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    Enumeration Date     |    10/25/2018
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    Last Update Date     |    10/25/2018
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Provider Practice Location Address
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    Address Line         |    108 W TOWN ST 
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    City                 |    NORWICH
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    State                |    CT
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    Zip                  |    06360-2239
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    Country              |    US
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    Telephone            |    860-908-2545
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    Fax                  |    860-365-8844
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Provider Business Mailing Address
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    Address Line         |    20 CARVER AVE 
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    City                 |    NORWICH
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    State                |    CT
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    Zip                  |    06360-3316
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    Country              |    US
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    Telephone            |    860-908-2545
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    Fax                  |    860-365-8844
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JULIE  LONGTON 
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    Credential           |    LMFT
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    Telephone            |    860-908-2545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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