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General NPI Number Information
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NPI Number | 1326550286
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Entity Type | Organization
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Legal Business Name | MULTICULTURAL EVALUATION FAMILY COUNSELING SERVICES CENTER, INC.
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 33 DOVER ST STE 328
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City | BROCKTON
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State | MA
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Zip | 02301-5973
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Country | US
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Telephone | 508-857-1225
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Fax | 508-857-1287
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Provider Business Mailing Address
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Address Line | 8 NYLAN RD
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City | BROCKTON
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State | MA
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Zip | 02301-1752
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Country | US
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Telephone | 508-857-3114
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Fax | 508-857-1287
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MRS. CHANTAL JEAN-BAPTISTE
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Credential | LMHC
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Telephone | 508-314-3389
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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 | 7487
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License Number State | MA
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