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NPI 1477217743

NPI 1477217743 : BARBARA QUEALLY COUNSELING : HUDSON, FL

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General NPI Number Information
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    NPI Number           |    1477217743
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARBARA QUEALLY COUNSELING 
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Dates
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    Enumeration Date     |    10/23/2021
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    8308 WAGON WHEEL LN 
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    City                 |    HUDSON
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    State                |    FL
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    Zip                  |    34667-2549
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    Country              |    US
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    Telephone            |    970-216-6997
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    983 GLEN HAVEN CIR APT 3 
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    City                 |    PETOSKEY
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    State                |    MI
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    Zip                  |    49770-2898
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    Country              |    US
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    Telephone            |    970-216-6997
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BARBARA  QUEALLY 
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    Credential           |    LPC
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    Telephone            |    970-216-6997
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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       |    
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    License Number State |    
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