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General NPI Number Information
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NPI Number | 1457886384
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Entity Type | Organization
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Legal Business Name | HIGH POINT WELLNESS COUNSELING LLC
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 949 VALLEY RD
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City | BLUE BELL
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State | PA
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Zip | 19422-1921
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Country | US
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Telephone | 215-920-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 949 VALLEY RD
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City | BLUE BELL
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State | PA
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Zip | 19422-1921
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Country | US
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Telephone | 215-920-3433
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | KATHRYN THERRIEN
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Credential | LPC, LMHC
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Telephone | 215-920-3433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0049021
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00577700
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License Number State | NJ
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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 | PC008477
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC009577
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License Number State | PA
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