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NPI 1447969795

NPI 1447969795 : MONTRESOR COUNSELING, LLC : LEMOYNE, PA

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General NPI Number Information
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    NPI Number           |    1447969795
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONTRESOR COUNSELING, LLC 
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Dates
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    Enumeration Date     |    11/15/2022
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    Last Update Date     |    01/23/2023
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Provider Practice Location Address
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    Address Line         |    20 ERFORD RD STE 216 
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    City                 |    LEMOYNE
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    State                |    PA
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    Zip                  |    17043-1163
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    Country              |    US
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    Telephone            |    717-444-8495
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 ERFORD RD STE 216 
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    City                 |    LEMOYNE
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    State                |    PA
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    Zip                  |    17043-1163
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    Country              |    US
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    Telephone            |    717-444-8495
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SOLE MEMBER
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    Name                 |     FRANCES  MONTRESOR 
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    Credential           |    LCSW
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    Telephone            |    717-444-8495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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