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General NPI Number Information
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NPI Number | 1306479712
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Entity Type | Organization
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Legal Business Name | ESCALATOR COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 2517 HIGHWAY 35 STE 205
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City | MANASQUAN
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State | NJ
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Zip | 08736-1933
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Country | US
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Telephone | 732-416-4459
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Fax |
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Provider Business Mailing Address
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Address Line | 42 LIVINGSTON LN
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City | MANALAPAN
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State | NJ
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Zip | 07726-2820
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | LAURA HENNESSY
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Credential | LCSW, LCADC
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Telephone | 733-416-4459
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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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