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General NPI Number Information
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NPI Number | 1437578846
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Entity Type | Organization
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Legal Business Name | CENTER FOR COGNITIVE AND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 5 SYLVAN RD S
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City | WESTPORT
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State | CT
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Zip | 06880-4614
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Country | US
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Telephone | 203-918-7241
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Fax |
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Provider Business Mailing Address
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Address Line | 5 SYLVAN RD S
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City | WESTPORT
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State | CT
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Zip | 06880-4614
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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 | CLINICIAN
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Name | LAURA SCHACTER
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Credential | LCPC
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Telephone | 203-918-7241
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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 | 002497
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License Number State | CT
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