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General NPI Number Information
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NPI Number | 1356208912
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Entity Type | Organization
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Legal Business Name | WILLOWDALE COUNSELING CENTER II
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 76 NORTHEASTERN BLVD STE 36A
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City | NASHUA
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State | NH
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Zip | 03062-3196
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Country | US
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Telephone | 603-881-7554
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Fax | 603-881-7533
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Provider Business Mailing Address
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Address Line | 76 NORTHEASTERN BLVD STE 36A
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City | NASHUA
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State | NH
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Zip | 03062-3196
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Country | US
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Telephone | 603-881-7554
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Fax | 603-881-7533
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | CONNIE DENNINGHAM
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Credential |
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Telephone | 603-881-7554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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