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General NPI Number Information
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NPI Number | 1376190173
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Entity Type | Individual
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Provider Name | ALLISON LESLIE HART LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 7 OAK HILL TER STE 211
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7912
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Country | US
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Telephone | 207-332-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CHRISTIAN ROW
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City | BUXTON
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State | ME
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Zip | 04093-3151
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Country | US
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Telephone | 207-332-0336
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CC6219
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License Number State | ME
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