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General NPI Number Information
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NPI Number | 1336933985
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Entity Type | Organization
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Legal Business Name | COGNITIVE COMPASS, LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 691 MASSACHUSETTS AVE STE 5
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City | ARLINGTON
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State | MA
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Zip | 02476-4900
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Country | US
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Telephone | 617-671-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 80 PLEASANT ST STE 5
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City | ARLINGTON
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State | MA
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Zip | 02476-6516
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Country | US
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Telephone | 617-671-5804
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINA MARIE CARLSON
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Credential | LMHC
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Telephone | 857-253-9536
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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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