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General NPI Number Information
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NPI Number | 1457931784
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Entity Type | Individual
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Provider Name | CHRISTOPHER MANCINI MA, NCC, LPC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 245 MAIN ST
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City | DANIELSON
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State | CT
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Zip | 06239-2816
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Country | US
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Telephone | 888-316-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 350 PHOENIXVILLE RD
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City | CHAPLIN
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State | CT
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Zip | 06235-2419
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Country | US
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Telephone | 888-316-5221
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Fax | 866-203-2138
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C.2002503-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6263
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License Number State | CT
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