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General NPI Number Information
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NPI Number | 1316850092
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Entity Type | Organization
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Legal Business Name | MARRIAGE RESOURCE CENTER, LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 219 W GROVE ST LOWR LEVEL
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-2023
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Country | US
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Telephone | 570-909-9324
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Fax |
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Provider Business Mailing Address
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Address Line | 219 W GROVE ST LOWR LEVEL
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-2023
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Country | US
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Telephone | 570-909-9324
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL BURKE
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Credential | LMFT
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Telephone | 570-909-9324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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