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General NPI Number Information
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NPI Number | 1417430851
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Entity Type | Organization
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Legal Business Name | CLEARVIEW OCD COUNSELING, LLC
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 469 CHANDLER ST
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City | WORCESTER
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State | MA
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Zip | 01602-2529
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Country | US
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Telephone | 917-604-2981
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Fax | 508-791-5845
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Provider Business Mailing Address
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Address Line | 469 CHANDLER ST
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City | WORCESTER
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State | MA
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Zip | 01602-2529
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Country | US
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Telephone | 917-604-2981
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Fax | 508-791-5845
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MS. JAYME M VALDEZ
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Credential | LMHC
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Telephone | 917-604-2981
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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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