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General NPI Number Information
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NPI Number | 1437252517
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 239 W PHILADELPHIA ST
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City | YORK
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State | PA
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Zip | 17401
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Country | US
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Telephone | 717-845-2425
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Fax | 717-845-2682
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Provider Business Mailing Address
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Address Line | PO BOX 7726
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City | YORK
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State | PA
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Zip | 17404-0726
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Country | US
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Telephone | 717-845-2425
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Fax | 717-845-2682
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MS. DEWANA LYNN HALL
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Credential | MHS LPC CAC CCJP
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Telephone | 717-845-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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