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General NPI Number Information
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NPI Number | 1427532282
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Entity Type | Organization
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Legal Business Name | INNER BRIDGES COUNSELING
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 81 BELMONT AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6652
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Country | US
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Telephone | 802-579-1288
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Fax | 802-246-1261
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Provider Business Mailing Address
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Address Line | 81 BELMONT AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6652
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Country | US
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Telephone | 802-579-1288
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Fax | 802-246-1261
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | MS. H ELAINA DENNEY
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Credential | LCMHC
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Telephone | 802-579-1288
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0062095
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License Number State | VT
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