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NPI 1477197101

NPI 1477197101 : AMBER HENLEY LPC : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1477197101
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER HENLEY LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/06/2019
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    Last Update Date     |    12/20/2022
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Provider Practice Location Address
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    Address Line         |    1542 KUSER RD STE B8 
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08619-3829
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    Country              |    US
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    Telephone            |    640-223-0783
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    78 BENTWOOD DR 
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    City                 |    WESTAMPTON
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    State                |    NJ
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    Zip                  |    08060-5640
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    Country              |    US
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    Telephone            |    609-304-3280
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    Fax                  |    
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    NJ
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