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General NPI Number Information
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NPI Number | 1285142646
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Entity Type | Organization
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Legal Business Name | A STEP UP COUNSELING LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 185 E ELM ST #2057
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City | TORRINGTON
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State | CT
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Zip | 06790
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Country | US
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Telephone | 860-327-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 13 SAINT ANDREWS CLOSE # 2057
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City | TORRINGTON
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State | CT
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Zip | 06790-3054
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Country | US
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Telephone | 860-921-6615
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EBONY N WILSON
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Credential | LPC, LADC
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Telephone | 860-921-6615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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