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General NPI Number Information
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NPI Number | 1295560043
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Entity Type | Organization
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Legal Business Name | EMBER AND BLOOM COUNSELING
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 857 N MAIN STREET EXT STE 1
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City | WALLINGFORD
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State | CT
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Zip | 06492-2465
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Country | US
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Telephone | 203-212-9024
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Fax | 203-718-8474
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Provider Business Mailing Address
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Address Line | 16 BAILEY AVE
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City | WALLINGFORD
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State | CT
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Zip | 06492-1602
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Country | US
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Telephone | 203-641-5489
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | MRS. SARAH THUERLING JONES
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Credential | LPC
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Telephone | 203-641-5489
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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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