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NPI 1457905515

NPI 1457905515 : MURPHY COUNSELING & COUNSULTING LLC : IRVINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1457905515
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    Entity Type          |    Organization 
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    Legal Business Name  |    MURPHY COUNSELING & COUNSULTING LLC 
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Dates
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    Enumeration Date     |    07/27/2019
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    Last Update Date     |    07/27/2019
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Provider Practice Location Address
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    Address Line         |    123 22ND ST APT 2 
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    City                 |    IRVINGTON
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    State                |    NJ
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    Zip                  |    07111-4421
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    Country              |    US
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    Telephone            |    973-755-9295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    123 22ND ST APT 2 
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    City                 |    IRVINGTON
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    State                |    NJ
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    Zip                  |    07111-4421
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    Country              |    US
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    Telephone            |    973-755-9295
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. RODERICK ALAN MURPHY 
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    Credential           |    MHS-C, LCADC, LPC
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    Telephone            |    973-755-9295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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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        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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