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General NPI Number Information
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NPI Number | 1427588177
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Entity Type | Organization
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Legal Business Name | TRI CITY COUNSELING
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 150 WEST HIGH ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878
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Country | US
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Telephone | 603-661-7403
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Fax |
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Provider Business Mailing Address
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Address Line | 150 W HIGH ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1527
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Country | US
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Telephone | 603-312-0814
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Fax | 855-612-2887
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DONNA M FREDETTE
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Credential | MLADC
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Telephone | 603-312-0814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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