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General NPI Number Information
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NPI Number | 1306251368
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Entity Type | Organization
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Legal Business Name | WEST END COUNSELING, INC.
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 1841 ROUTE 209
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City | BRODHEADSVILLE
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State | PA
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Zip | 18322-7133
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Country | US
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Telephone | 570-236-0042
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Fax |
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Provider Business Mailing Address
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Address Line | 626 SHANE DR
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City | EFFORT
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State | PA
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Zip | 18330-8169
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Country | US
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Telephone | 570-236-0042
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CATHLEEN ANNE POWELL
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Credential | MSW, LCSW
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Telephone | 570-236-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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