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General NPI Number Information
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NPI Number | 1447564638
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Entity Type | Organization
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Legal Business Name | INTEGRATED EDUCATION AND COUNSELING SERVICES
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 1106 ALPINE TRL
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City | NEPTUNE
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State | NJ
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Zip | 07753-4459
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Country | US
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Telephone | 732-774-5761
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 ALPINE TRL
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City | NEPTUNE
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State | NJ
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Zip | 07753-4459
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Country | US
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Telephone | 732-774-5761
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. CINDY BETH LICHTENSTEIN
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Credential | LPC
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Telephone | 732-774-5761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00396200
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License Number State | NJ
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