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General NPI Number Information
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NPI Number | 1427706688
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Entity Type | Organization
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Legal Business Name | KINDRED PSYCHOTHERAPY AND CONSULTATION PLLC
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 555 HIGHLAND AVE # 21
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City | CHESHIRE
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State | CT
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Zip | 06410-2255
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Country | US
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Telephone | 860-305-2727
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 406
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City | MORRIS
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State | CT
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Zip | 06763-0406
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Country | US
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Telephone | 860-305-2727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALANA DIPESA
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Credential | LCSW
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Telephone | 860-305-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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