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General NPI Number Information
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NPI Number | 1326694886
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Entity Type | Organization
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Legal Business Name | STAGES OF CHANGE COUNSELING
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 495 ORANGE ST FL 3
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City | NEW HAVEN
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State | CT
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Zip | 06511-3809
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Country | US
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Telephone | 203-312-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BANKSIDE TRL
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City | SANDY HOOK
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State | CT
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Zip | 06482-1261
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Country | US
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Telephone | 203-312-3812
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. STINA CURTIS REED
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Credential | L.P.C.
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Telephone | 203-312-3812
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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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