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NPI 1427663160

NPI 1427663160 : JAMES HENKHAUS LMHC : BRIGHTON, MA

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General NPI Number Information
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    NPI Number           |    1427663160
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES HENKHAUS LMHC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/10/2020
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    Last Update Date     |    10/27/2024
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Provider Practice Location Address
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    Address Line         |    77F WARREN ST 
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    City                 |    BRIGHTON
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    State                |    MA
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    Zip                  |    02135-3601
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    Country              |    US
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    Telephone            |    617-254-1271
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    185 DEVONSHIRE ST STE 501 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02110-1415
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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       |    10001630
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    License Number State |    MA
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