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General NPI Number Information
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NPI Number | 1356164081
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Entity Type | Organization
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Legal Business Name | BIG OAK COUNSELING
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 18933 E SAN TAN BLVD STE 123
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-2001
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Country | US
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Telephone | 480-862-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 8915 E GUADALUPE RD APT 1142
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City | MESA
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State | AZ
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Zip | 85212-2877
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Country | US
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Telephone | 480-862-9121
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CATHLEEN PICCIOTTI
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Credential | LPC
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Telephone | 480-862-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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