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General NPI Number Information
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NPI Number | 1326557554
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Entity Type | Organization
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Legal Business Name | CPS COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 8 N MAIN ST
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City | DOVER
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State | PA
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Zip | 17315-1210
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Country | US
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Telephone | 717-467-5909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141
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City | DOVER
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State | PA
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Zip | 17315-0141
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Country | US
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Telephone | 717-467-5909
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MR. CORY P STUMP
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Credential | BS, CADC
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Telephone | 717-467-5909
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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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