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General NPI Number Information
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NPI Number | 1457787152
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Entity Type | Organization
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Legal Business Name | FOOKS-MICHNYA ASSOCIATES LLC
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 126 W MEYRAN AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2140
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Country | US
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Telephone | 609-601-0352
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Fax | 609-601-7944
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Provider Business Mailing Address
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Address Line | PO BOX 424
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City | SOMERS POINT
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State | NJ
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Zip | 08244-0424
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Country | US
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Telephone | 609-601-0352
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Fax | 609-601-7944
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Authorized Official
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Title or Position | PARTNER
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Name | MICHAEL A MICHNYA
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Credential | LPC
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Telephone | 609-601-0352
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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 | 37PC00214700
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License Number State | NJ
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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 | 37LC00140400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00214700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00110000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00214700
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License Number State | NJ
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