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General NPI Number Information
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NPI Number | 1437891595
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Entity Type | Organization
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Legal Business Name | CENTRAL KEYSTONE COUNSELING, LLC
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Dates
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Enumeration Date | 04/10/2022
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 49 E 4TH ST STE 205
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6355
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Country | US
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Telephone | 570-293-9569
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Fax |
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Provider Business Mailing Address
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Address Line | 49 E 4TH ST STE 205
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6355
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Country | US
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Telephone | 570-601-4788
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. BRIAN JAMES SCHURR
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Credential | PSY.D.
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Telephone | 570-601-4788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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