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General NPI Number Information
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NPI Number | 1386159762
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Entity Type | Organization
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Legal Business Name | LOUICE TORRES LICENSED MENTAL HEALTH COUNSELOR PLLC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 7 INNIS AVE
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City | NEW PALTZ
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State | NY
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Zip | 12561-1941
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Country | US
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Telephone | 845-255-5617
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Fax |
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Provider Business Mailing Address
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Address Line | 7085 RT 9
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City | RHINEBECK
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State | NY
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Zip | 12572-1941
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Country | US
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Telephone | 845-255-5617
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | LOUICE TORRES
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Credential | LMHC
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Telephone | 845-255-5617
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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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