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General NPI Number Information
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NPI Number | 1427479047
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Entity Type | Individual
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Provider Name | ASHLEY BLAIRE COOK M.ED, LPC, LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2013
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Last Update Date | 01/01/2022
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Provider Practice Location Address
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Address Line | 300 E LANCASTER AVE SUITE 200
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2139
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Country | US
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Telephone | 484-416-3230
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Fax | 484-416-3299
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Provider Business Mailing Address
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Address Line | 300 E LANCASTER AVE SUITE 200
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2139
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Country | US
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Telephone | 484-416-3230
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Fax | 484-416-3299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PC006955
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC006955
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License Number State | PA
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