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General NPI Number Information
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NPI Number | 1487517348
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Entity Type | Organization
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Legal Business Name | WARRIORS WALK INTEGRATED COUNSELING
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 202 GILLETTE RD
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City | NEW HARTFORD
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State | CT
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Zip | 06057-2808
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Country | US
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Telephone | 860-782-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 202 GILLETTE RD
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City | NEW HARTFORD
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State | CT
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Zip | 06057-2808
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Country | US
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Telephone | 860-782-0868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSE MANCINONE
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Credential | MS, L.P.C.
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Telephone | 860-782-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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