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General NPI Number Information
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NPI Number | 1306621560
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Entity Type | Organization
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Legal Business Name | SOWELU COUNSELING INC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 158A BELMONT ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2912
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Country | US
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Telephone | 617-710-0801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 142
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City | WATERTOWN
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State | MA
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Zip | 02471-0142
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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 | PRESIDENT
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Name | AMELIA CRAWFORD
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Credential | LMHC
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Telephone | 617-710-0801
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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 |
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License Number State |
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