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General NPI Number Information
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NPI Number | 1427598317
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Entity Type | Organization
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Legal Business Name | DC COUNSELING, LLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 147 COLUMBIA TPKE SUITE 307
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2113
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Country | US
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Telephone | 201-654-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 147 COLUMBIA TURNPIKE SUITE 307
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City | FLORHAM PARK
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State | NJ
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Zip | 07932
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Country | US
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Telephone | 201-654-0699
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA LORENA CERON
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Credential | LPC
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Telephone | 201-284-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37PC00473200
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License Number State | NJ
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