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General NPI Number Information
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NPI Number | 1447531413
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Entity Type | Organization
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Legal Business Name | REDDING COUNSELING, LLC
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 781 N PARK AVE
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City | REDDING
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State | CT
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Zip | 06896-3412
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Country | US
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Telephone | 203-274-0158
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Fax |
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Provider Business Mailing Address
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Address Line | 781 N PARK AVE
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City | REDDING
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State | CT
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Zip | 06896-3412
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Country | US
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Telephone | 203-274-0158
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LENORE C PRANZO
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Credential | LMFT
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Telephone | 203-274-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001234
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License Number State | CT
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