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General NPI Number Information
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NPI Number | 1457240632
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Entity Type | Organization
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Legal Business Name | SECOND JOURNEYS COUNSELING, LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3229 W LIBERTY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216-2319
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Country | US
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Telephone | 412-229-7689
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Fax |
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Provider Business Mailing Address
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Address Line | 54 PARKE ST
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City | CRAFTON
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State | PA
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Zip | 15205-3018
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Country | US
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Telephone | 412-229-7689
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | NAOMI P TUCKER
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Credential | LPC, MS
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Telephone | 412-229-7689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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