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General NPI Number Information
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NPI Number | 1467027086
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Entity Type | Organization
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Legal Business Name | TALK TO CASS, LICENSED MENTAL HEALTH COUNSELOR, PLLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 200 TRILLIUM LN
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City | ALBANY
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State | NY
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Zip | 12203-3818
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Country | US
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Telephone | 518-791-8784
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Fax |
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Provider Business Mailing Address
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Address Line | 200 TRILLIUM LN # 8
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City | ALBANY
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State | NY
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Zip | 12203-3818
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | MR. DAVID WAYNE CASS JR.
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Credential | LMHC
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Telephone | 518-791-8784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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