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General NPI Number Information
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NPI Number | 1396362471
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Entity Type | Organization
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Legal Business Name | CATHERINE CHINNOCK ATR-BC LMHC
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 32 COURT ST STE 1901
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City | BROOKLYN
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State | NY
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Zip | 11201-4421
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Country | US
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Telephone | 312-505-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HINCKLEY PL APT 6H
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City | BROOKLYN
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State | NY
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Zip | 11218-3350
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Country | US
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Telephone | 312-505-0052
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE ANNE CHINNOCK
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Credential | ATR-BC, LCPC, LMHC
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Telephone | 312-505-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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