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General NPI Number Information
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NPI Number | 1417275314
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Entity Type | Organization
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Legal Business Name | INSIGHT PROFESSIONAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 8183 ROUTE 522 SUITE 10
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City | MIDDLEBURG
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State | PA
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Zip | 17842-9406
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Country | US
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Telephone | 570-765-7085
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Fax | 570-765-7086
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Provider Business Mailing Address
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Address Line | 8183 ROUTE 522 SUITE 10
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City | MIDDLEBURG
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State | PA
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Zip | 17842-9406
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Country | US
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Telephone | 570-765-7085
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Fax | 570-765-7086
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MS. JONI ANDREA SEFERSHAYAN
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Credential | MSW, LCSW
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Telephone | 570-765-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015679
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License Number State | PA
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