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General NPI Number Information
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NPI Number | 1396354155
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Entity Type | Organization
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Legal Business Name | HOLISTIC JOURNEY COUNSELING, LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 3708 FREEMANSBURG AVE UNIT 2
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City | BETHLEHEM
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State | PA
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Zip | 18020-6512
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Country | US
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Telephone | 610-730-7416
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Fax | 267-373-1640
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Provider Business Mailing Address
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Address Line | 2801 BRIDGE LN
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City | BETHLEHEM
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State | PA
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Zip | 18020-7722
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Country | US
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Telephone | 610-730-0996
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Fax | 267-373-1640
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Authorized Official
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Title or Position | THERAPIST
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Name | ANGELIQUE LYNN GUTEKUNST
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Credential | LPC
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Telephone | 610-730-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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