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NPI 1336919612

NPI 1336919612 : INSPIRE COUNSELING & RECOVERY CENTER : MAPLEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1336919612
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSPIRE COUNSELING & RECOVERY CENTER 
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Dates
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    Enumeration Date     |    01/08/2024
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    Last Update Date     |    01/08/2024
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Provider Practice Location Address
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    Address Line         |    2040 MILLBURN AVE STE 102 
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    City                 |    MAPLEWOOD
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    State                |    NJ
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    Zip                  |    07040-3716
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    Country              |    US
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    Telephone            |    908-912-6338
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2040 MILLBURN AVE STE 102 
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    City                 |    MAPLEWOOD
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    State                |    NJ
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    Zip                  |    07040-3716
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    Country              |    US
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    Telephone            |    908-912-6338
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. RONDA  JONES 
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    Credential           |    LCADC
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    Telephone            |    908-912-6338
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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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