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General NPI Number Information
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NPI Number | 1487392999
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Entity Type | Organization
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Legal Business Name | AUTHENTICALLY YOU COUNSELING PLLC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 112 PLEASANT ST UNIT 3
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City | CONCORD
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State | NH
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Zip | 03301-2931
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Country | US
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Telephone | 603-429-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 112 PLEASANT ST UNIT 3
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City | CONCORD
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State | NH
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Zip | 03301-2931
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Country | US
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Telephone | 603-429-1999
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | ANNABEL FORTIER
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Credential | LCMHC
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Telephone | 603-969-4960
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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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