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General NPI Number Information
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NPI Number | 1346004074
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Entity Type | Organization
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Legal Business Name | AWAKEN JOURNEY COUNSELING
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 472 HIGH ST OFC 308
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1012
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Country | US
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Telephone | 603-932-4850
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Fax | 603-945-1965
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Provider Business Mailing Address
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Address Line | 3 WHITTIER LN
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City | LEE
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State | NH
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Zip | 03861-6303
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Country | US
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Telephone | 603-932-4850
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Fax | 603-945-1965
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Authorized Official
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Title or Position | LCMHC
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Name | TANIA L OSBORN-FIANDACA
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Credential | MS
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Telephone | 603-932-4850
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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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