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General NPI Number Information
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NPI Number | 1376432971
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Entity Type | Organization
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Legal Business Name | NEK FAMILY COUNSELING CENTER
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 370 RAILROAD ST
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City | ST JOHNSBURY
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State | VT
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Zip | 05819-1628
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Country | US
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Telephone | 828-506-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 370 RAILROAD ST
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City | ST JOHNSBURY
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State | VT
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Zip | 05819-1628
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Country | US
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Telephone | 828-506-9979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW KIRBY
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Credential | LCMHC
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Telephone | 828-506-9979
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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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