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General NPI Number Information
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NPI Number | 1306074380
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Entity Type | Organization
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Legal Business Name | ABR COUNSELING ASSOCIATES OF KENT COUNTY INC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 1001 S. BRADFORD ST. SUITE 7
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City | DOVER
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State | DE
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Zip | 19904-7020
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Country | US
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Telephone | 302-678-4558
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Fax | 302-678-4577
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Provider Business Mailing Address
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Address Line | 1001 S. BRADFORD ST. SUITE 7
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City | DOVER
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State | DE
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Zip | 19904-7020
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Country | US
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Telephone | 302-678-4558
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Fax | 302-678-4577
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. THERESA SHAHAN
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Credential |
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Telephone | 302-678-4558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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