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General NPI Number Information
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NPI Number | 1326620097
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Entity Type | Organization
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Legal Business Name | PEPPERTREE COUNSELING, LLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 14 DEPOT PL STE 4
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City | BETHEL
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State | CT
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Zip | 06801-2540
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Country | US
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Telephone | 203-292-0856
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LIMEKILN CT
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City | BETHEL
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State | CT
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Zip | 06801-3234
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Country | US
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Telephone | 203-292-0856
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Fax |
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Authorized Official
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Title or Position | PROVIDER/MENTAL HEALTH COUNSELOR
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Name | MS. DANIELLE MONROE
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Credential | LPC
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Telephone | 203-292-0856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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