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General NPI Number Information
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NPI Number | 1295037729
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Entity Type | Organization
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Legal Business Name | STEPPING STONES PROFESSIONAL COUNSELING, INC.
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Dates
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Enumeration Date | 12/04/2010
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 151 MARY ESTHER BLVD SUITE 310-A
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City | MARY ESTHER
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State | FL
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Zip | 32569-1974
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Country | US
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Telephone | 850-226-6430
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Fax | 850-254-1986
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Provider Business Mailing Address
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Address Line | 151 MARY ESTHER BLVD SUITE 310-A
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City | MARY ESTHER
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State | FL
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Zip | 32569-1974
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Country | US
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Telephone | 850-226-6430
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Fax | 850-254-1986
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Authorized Official
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Title or Position | OWNER
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Name | REGINA BRIGHT
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Credential | LMHC
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Telephone | 850-226-6430
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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 | MH9469
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License Number State | FL
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