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General NPI Number Information
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NPI Number | 1336572445
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Entity Type | Organization
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Legal Business Name | COUNSELING SOLUTIONS, INC
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 80 PALOMINO LN #203
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City | BEDFORD
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State | NH
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Zip | 03110-6447
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Country | US
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Telephone | 603-494-9084
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Fax | 603-505-4314
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Provider Business Mailing Address
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Address Line | 80 PALOMINO LN #203
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City | BEDFORD
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State | NH
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Zip | 03110-6447
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Country | US
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Telephone | 603-494-9084
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Fax | 603-505-4314
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Authorized Official
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Title or Position | TREASURER
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Name | MR. JEFFREY WALLACE
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Credential |
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Telephone | 603-494-9084
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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 |
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License Number State |
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