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General NPI Number Information
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NPI Number | 1447140553
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Entity Type | Organization
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Legal Business Name | NORTH RIVER PSYCHOTHERAPY
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE # 7231
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 646-450-1646
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST # 51476
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 646-450-1646
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | HUDSON CARROL
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Credential | LMHC
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Telephone | 646-450-1646
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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 |
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License Number State |
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